支气管内超声引导下经支气管针吸活检的技术要点
Technical aspects of endobronchial ultrasound-guided transbronchial needle aspiration.
作者信息
Kang Hyo Jae, Hwangbo Bin
机构信息
Department of Pulmonology, Center for Lung Cancer, National Cancer Center, Goyang, Korea.
出版信息
Tuberc Respir Dis (Seoul). 2013 Oct;75(4):135-9. doi: 10.4046/trd.2013.75.4.135. Epub 2013 Oct 29.
Abstract
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is becoming a standard method for invasive mediastinal staging and for the diagnosis of paratracheal and peribronchial lesions. It is essential to understand the technical aspects of EBUS-TBNA to ensure safe and efficient procedures. In this review, we discuss the practical aspects to be considered during EBUS-TBNA, including anesthesia, manipulation of equipment, understanding mediastinal ultrasound images, target selection, number of aspirations needed per target, sample handling, and complications.
摘要
支气管内超声引导下经支气管针吸活检术（EBUS-TBNA）正成为侵袭性纵隔分期及气管旁和支气管周围病变诊断的标准方法。了解EBUS-TBNA的技术要点对于确保操作安全、高效至关重要。在本综述中，我们讨论了EBUS-TBNA过程中需要考虑的实际问题，包括麻醉、设备操作、纵隔超声图像解读、靶点选择、每个靶点所需的穿刺次数、样本处理及并发症。
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