经支气管针吸活检术：发展历程、现状与未来展望
Transbronchial needle aspiration: development history, current status and future perspective.
作者信息
Yang Huizhen, Zhang Yuan, Wang Ko-Pen, Ma Yun
机构信息
1 Department of Respiratory and Critical Care Medicine, People's Hospital, Zhengzhou University, Zhengzhou 450003, China ; 2 Department of Respiratory Medicine, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200092, China ; 3 Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.
出版信息
J Thorac Dis. 2015 Dec;7(Suppl 4):S279-86. doi: 10.3978/j.issn.2072-1439.2015.11.36.
Abstract
BACKGROUND
Transbronchial needle aspiration (TBNA) technology was underutilized by clinicians because it is "blind". Recent development of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) renewed the interest and confident of TBNA. TBNA without EBUS is referred as conventional transbronchial needle aspiration (C-TBNA).
METHODS
This paper focuses on C-TBNA technology development history, present situation and future development to do a detailed introduction.
RESULTS
TBNA is a simple, cost effective and minimally invasive technique for diagnosing disease of the mediastinum and lung in adult as well as children patients.
CONCLUSIONS
More improvements of TBNA technology should be made, including employing technological advances to perfect the instruments and techniques, focusing on patient comfort, optimizing yield, simplifying instruments, maximizing ease of use and minimizing training requirements for the pulmonologist. The ideal TBNA scope deserves further evaluation and study.
摘要
背景
经支气管针吸活检（TBNA）技术因具有“盲目性”，临床医生对其利用不足。支气管内超声引导下经支气管针吸活检（EBUS-TBNA）的最新发展重新唤起了人们对TBNA的兴趣并增强了信心。无EBUS的TBNA被称为传统经支气管针吸活检（C-TBNA）。
方法
本文聚焦于C-TBNA技术的发展历程、现状及未来发展进行详细介绍。
结果
TBNA是一种用于诊断成人及儿童纵隔和肺部疾病的简单、经济高效且微创的技术。
结论
TBNA技术应进一步改进，包括利用技术进步完善仪器和技术，关注患者舒适度，优化取材率，简化仪器，最大程度提高易用性并减少肺科医生的培训要求。理想的TBNA设备值得进一步评估和研究。
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