22G、22G升级版、21G和19G穿刺针用于支气管内超声引导针吸活检术（EBUS-TBNA）的“单次穿刺”样本评估
"One Shot" Sample Evaluation of 22G, 22G upgraded, 21G and 19G needle for Endobronchial Ultrasound-EBUS-TBNA.
作者信息
Oikonomidou Rena, Petridis Dimitris, Alexidis Petros, Matthaios Dimitris, Boukovinas Ioannis, Perdikouri Eleni Isidora, Baka Sofie, Hohenforst-Schmidt Wolfgang, Huang Haidong, Bai Chong, Zaric Bojan, Freitag Lutz, Courcoutsakis Nikolaos, Anemoulis Marios, Kosmidis Christoforos, Foroulis Christoforos, Petanidis Savas, Papadopoulos Vasilis, Ioannidis Aris, Zarogoulidis Paul
机构信息
Health center Evosmos, Thessaloniki, Greece.
Department of Food Technology, School of Food Technology and Nutrition, Alexander Technological Educational Institute, Thessaloniki, Greece.
出版信息
J Cancer. 2022 Jul 18;13(10):2982-2987. doi: 10.7150/jca.74022. eCollection 2022.
There are still diagnostic issues with lung cancer and mediastinum lymphadenopathy. Endobronchial ultrasound (EBUS) is a state of the art equipment for the diagnosis of lymphadenopathy and central lesions. To investigate the sample size with one pass. 248 Stage IV patients were included in our study. All patients had a CT of the thorax with either lymphadenopathy or lyphadenopathy plus pulmonary lesions. Patients had a biopsy with endobronchial ultrasound with 22G Mediglope, 22G Mediglope Sonotip, 21G Olympus and 19G Olympus needle. We collected information regarding the cancer type, cell block, tissue, age, sex, lesion size and needle type. The cancer type diagnosis was associated with the needle diameter. The number of cell-blocks were associated with the lesion size and needle diameter. Slices from the tissue and cell-blocks were again associated with the lesion size and needle diameter. One pass is enough for cancer diagnosis, however; careful selection has to be made among patients regarding the needle diameter. In the case of lymphoma suspicion we should use 19G needle.
肺癌和纵隔淋巴结肿大仍存在诊断问题。支气管内超声（EBUS）是诊断淋巴结肿大和中央病变的先进设备。为了研究一次穿刺的样本量。我们的研究纳入了248例IV期患者。所有患者均进行了胸部CT检查，检查结果为有淋巴结肿大或伴有肺部病变的淋巴结肿大。患者使用22G Mediglope、22G Mediglope Sonotip、21G奥林巴斯和19G奥林巴斯针进行支气管内超声引导下活检。我们收集了有关癌症类型、细胞块、组织、年龄、性别、病变大小和针类型的信息。癌症类型诊断与针直径有关。细胞块数量与病变大小和针直径有关。组织和细胞块的切片也与病变大小和针直径有关。然而，一次穿刺就足以进行癌症诊断；必须根据针直径在患者中进行仔细选择。在怀疑为淋巴瘤的情况下，我们应使用19G针。
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