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经支气管针吸活检在结节病诊断中的应用

Transbronchial needle aspiration in the diagnosis of sarcoidosis.

作者信息

Pauli G, Pelletier A, Bohner C, Roeslin N, Warter A, Roegel E

出版信息

Chest. 1984 Apr;85(4):482-4. doi: 10.1378/chest.85.4.482.

DOI:10.1378/chest.85.4.482
PMID:6705576
Abstract

A total of 258 patients with suspected sarcoidosis underwent transbronchial needle aspiration lymph node biopsies and forceps bronchial biopsies during rigid bronchoscopy. Transbronchial needle aspiration biopsies revealed noncaseating granulomas in 66.3 percent of patients. When transbronchial needle aspiration biopsies were combined with forceps bronchial biopsies, the positive rate increased to 77.7 percent. No major complication occurred when using transbronchial needle aspiration. Rigid bronchoscopy with transbronchial needle aspiration biopsies appears to offer a sensitive and specific alternative to more invasive techniques used in the diagnosis of sarcoidosis.

摘要

共有258例疑似结节病患者在硬质支气管镜检查期间接受了经支气管针吸淋巴结活检和钳取支气管活检。经支气管针吸活检显示,66.3%的患者存在非干酪样肉芽肿。当经支气管针吸活检与钳取支气管活检联合使用时,阳性率提高到77.7%。使用经支气管针吸时未发生重大并发症。经支气管针吸活检的硬质支气管镜检查似乎为结节病诊断中使用的更具侵入性的技术提供了一种敏感且特异的替代方法。

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