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目的:探讨我科近一年来应用经支气管针吸活检术(TBNA)在诊断纵膈及肺门肿大淋巴结方面的经验及体会。方法:对2010年3月—2010年12月在我科行TBNA检查的56例患者的临床资料进行回顾性分析。对这56例患者体内的72组淋巴结进行穿刺检查。结果:在没有采用现场细胞学诊断的条件下明确诊断42例,确诊率为75%。在被确诊的42例患者中,有肺癌患者30例(肺腺癌患者12例、肺鳞癌患者6例、肺小细胞癌患者5例、不能定性的肺癌患者7例)、结节病患者2例、结核病患者5例、非癌性肿块患者5例。结论:TBNA是诊断纵膈及肺门肿大淋巴结的一种安全有效的方法。
Objective: To investigate the experience and experience of using transbronchial needle aspiration biopsy (TBNA) in the diagnosis of mediastinum and hilar lymph nodes in our department in the recent year. Methods: The clinical data of 56 patients who underwent TBNA examination in our department from March 2010 to December 2010 were analyzed retrospectively. Thirty-two lymph nodes in these 56 patients were examined by puncture. Results: In the absence of on-site cytological diagnosis of 42 cases of a clear diagnosis, the diagnosis was 75%. Among the 42 patients diagnosed, there were 30 patients with lung cancer (12 patients with lung adenocarcinoma, 6 patients with squamous cell carcinoma, 5 patients with small cell lung cancer and 7 patients with unspecified lung cancer), and patients with sarcoidosis 2 cases, 5 cases of tuberculosis, 5 cases of non-cancerous tumor. Conclusion: TBNA is a safe and effective method to diagnose mediastinal and hilar lymph nodes.