Atay Z, Brandt H J
Dtsch Med Wochenschr. 1977 Mar 11;102(10):345-8. doi: 10.1055/s-0028-1104891.
In almost all bronchoscopy patients perbronchial puncture of hilar lymph nodes was performed routinely. There were 1883 punctures performed in 1841 patients. In histologically proven malignant processes tumour cells were demonstrated in the smear in 84% of the cases, whereas in 97 cases of sarcoidosis a cytological diagnosis could be made in 94%. On account of the high specificity, the harmlessness of the procedure and the minimal stress caused to the patient in comparison with mediastinoscopy or thoracoscopy perbronchial fine needle asperation is highly recommended in unclear mediastinal processes as well as to determine the operability of a bronchial carcinoma or stage of a tumour according to the TNM system.
几乎所有接受支气管镜检查的患者均常规进行肺门淋巴结经支气管穿刺。1841例患者共进行了1883次穿刺。在组织学确诊的恶性病变中，84%的病例涂片显示有肿瘤细胞，而在97例结节病患者中，94%的病例可做出细胞学诊断。鉴于该检查具有高度特异性、操作无害且与纵隔镜检查或胸腔镜检查相比对患者造成的应激极小，强烈推荐在不明纵隔病变以及根据TNM系统确定支气管癌的可切除性或肿瘤分期时采用经支气管细针抽吸术。
