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目的:经支气管针吸活检术(TBNA)是近年来用于诊断肺部结节病、纵隔淋巴结等疾病的微创检查方法。本研究旨在评价TBNA用于结节病诊断的价值。方法:选取20例临床表现和胸部CT检查疑似结节病的患者,同时行TBNA和纵隔镜检查。结果:TBNA后病理诊断为结节病的16例,纵隔镜后病理诊断为结节病的18例,TBNA诊断阳性率为88.89%。结论:TBNA微创、安全性高、准确率高,是用于结节病诊断的较好方法。
Objective: Transbronchial needle aspiration biopsy (TBNA) is a minimally invasive method for diagnosing diseases such as pulmonary sarcoidosis and mediastinal lymph nodes in recent years. This study aimed to evaluate the value of TBNA for the diagnosis of sarcoidosis. Methods: Twenty patients with suspected sarcoidosis underwent CT scan and chest CT examination. The patients underwent both TBNA and mediastinoscopy. Results: Sixteen cases were pathologically diagnosed as sarcoidosis after TBNA, 18 cases were diagnosed as sarcoidosis by mediastinoscopy. The positive rate of TBNA diagnosis was 88.89%. Conclusion: TBNA minimally invasive, safe, high accuracy, is a good method for the diagnosis of sarcoidosis.