1 Lerner College of Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio; and.
Ann Am Thorac Soc. 2013 Dec;10(6):685-9. doi: 10.1513/AnnalsATS.201308-272ED.
Proponents of the endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) propose that in this era of EBUS-TBNA, training for conventional transbronchial needle aspiration (C-TBNA) should be abandoned. The authors of this editorial provide the opposing view. C-TBNA has a short and a steep learning curve and adds to the diagnostic yield of flexible bronchoscopy in a cost-effective fashion. Considering its simplicity, availability, affordability, safety, and several unique indications, C-TBNA continues to contribute to the welfare of patients worldwide. It should remain as an integral part of pulmonary fellowship training programs.
支持者认为,在支气管内超声引导经支气管针吸活检术(EBUS-TBNA)时代,传统经支气管针吸活检术(C-TBNA)的培训应该被放弃。本文的作者提出了相反的观点。C-TBNA 的学习曲线短而陡峭,并且以具有成本效益的方式增加了纤维支气管镜检查的诊断收益。考虑到其简单性、可用性、可负担性、安全性和几个独特的适应证,C-TBNA 仍然为全球患者的福祉做出了贡献。它应该作为肺科住院医师培训计划的一个组成部分。