Kayawake Hidenao, Chen-Yoshikawa Toyofumi F, Oda Hiromi, Motoyama Hideki, Hamaji Masatsugu, Menju Toshi, Aoyama Akihiro, Sato Toshihiko, Sonobe Makoto, Date Hiroshi
Department of Thoracic Surgery, Kyoto University, Kyoto, Japan.
Department of Thoracic Surgery, Kyoto University, Kyoto, Japan.
Ann Thorac Surg. 2017 Nov;104(5):e363-e365. doi: 10.1016/j.athoracsur.2017.06.015.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is considered useful for the staging and diagnosis of lung cancer or thoracic lymph node enlargement; however, little is known about its complications. Between July 2009 and November 2016, 413 patients underwent EBUS-TBNA, and four complications (0.97%) occurred. Here we report four cases involving complications of EBUS-TBNA, including mediastinitis (n = 2), obstructive pneumonia (n = 1), and airway obstruction requiring admission to the intensive care unit (n = 1). All patients recovered with appropriate medical treatment. Despite their low incidence, the complications associated with EBUS-TBNA can be serious.
支气管内超声引导下经支气管针吸活检术（EBUS-TBNA）被认为对肺癌分期及诊断或胸内淋巴结肿大有用；然而，关于其并发症却知之甚少。2009年7月至2016年11月期间，413例患者接受了EBUS-TBNA，发生了4例并发症（0.97%）。在此，我们报告4例EBUS-TBNA并发症病例，包括纵隔炎（n = 2）、阻塞性肺炎（n = 1）以及需要入住重症监护病房的气道阻塞（n = 1）。所有患者经适当治疗后均康复。尽管EBUS-TBNA相关并发症发生率较低，但可能很严重。
