针吸活检术诊断结节病的临床价值
China Journal of Endoscopy(2011)
Abstract
目的探讨针吸活检术在结节病诊断中的临床价值。方法对35例临床表现和胸部CT检查疑似结节病患者,先后行支气管肺泡灌洗液检查(BALF)、肺内活检(包括经支气管黏膜活检和经纤维支气管镜肺活检)、经支气管针吸活检术(TBNA)和经气管镜超声引导针吸活检术(EBUS-TBNA)。结果 35例患者最终有30例确诊为结节病。经EBUS-TBNA和TBNA诊断为结节病的患者分别26例(86.7%)和24例(80%),与BALF(60%)和肺内活检(40%)检查的阳性率相比,差异有显著性。结论 EBUS-TBNA和TBNA检查创伤性小、安全性好、准确率高,在结节病的诊断中有较高的应用价值。
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Key words
fiberoptic bronchoscopy,EBUS-TBNA,sarcoidosis
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