临床实践中的经支气管针吸活检术。
Transbronchial needle aspiration in clinical practice.
作者信息
Harrow E M, Oldenburg F A, Smith A M
出版信息
Thorax. 1985 Oct;40(10):756-9. doi: 10.1136/thx.40.10.756.
Transbronchial needle aspiration has recently been adapted for use with the flexible bronchoscope. We studied 108 patients, who had a total of 110 aspirations performed, and diagnosed thoracic cancer in 70 cases. Transbronchial needle aspiration revealed malignant disease in 32 (46%) of these 70 patients. In 12 (17%) patients with cancer this technique provided the sole cytological or histological confirmation of the diagnosis. It gave a positive result in an additional 20 (29%) cases in which the diagnosis was also proved by conventional procedures, and it provided important staging information in these patients. In 20% of patients with cancer transbronchial needle aspiration precluded the need for further diagnostic surgery. There were no complications in this series. This is a safe, useful, and economical technique that can be used in diagnosing and staging patients with carcinoma of the lung.
经支气管针吸活检术近来已适用于可弯曲支气管镜检查。我们研究了108例患者，共进行了110次针吸活检，确诊胸段癌70例。在这70例患者中，经支气管针吸活检显示32例（46%）为恶性疾病。在12例（17%）癌症患者中，该技术是诊断的唯一细胞学或组织学依据。在另外20例（29%）病例中，该技术结果呈阳性，这些病例的诊断也通过传统方法得到证实，并且它为这些患者提供了重要的分期信息。在20%的癌症患者中，经支气管针吸活检使进一步的诊断性手术不再必要。本系列研究中无并发症发生。这是一种安全、有用且经济的技术，可用于诊断和分期肺癌患者。
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