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目的:探讨经支气管镜针吸活检术(TBNA)在纵隔肿大淋巴结诊断中的价值。方法:回顾总结2013年8月至2016年12月在肇庆市第一人民医院呼吸科收治的44例接受TBNA患者的临床资料,总结穿刺结果及评价该技术的诊断价值和安全性。结果:TBNA阳性率为61.36%(27/44),其中恶性肿瘤占81.5%(22/27)。穿刺部位除了少量出血外,均无其他显著不良反应。结论:TBNA微创诊断率高,操作安全,在纵隔肺门病变诊断中的有较高临床价值。
Objective: To investigate the value of bronchoscopy needle aspiration biopsy (TBNA) in the diagnosis of mediastinal lymph nodes. Methods: The clinical data of 44 TBNA patients admitted to Respiratory Department of First People ’s Hospital of Zhaoqing from August 2013 to December 2016 were reviewed and summarized. Results of puncture and evaluation of the diagnostic value and safety of this technique were summarized. Results: The positive rate of TBNA was 61.36% (27/44), of which 81.5% (22/27) were malignant tumors. In addition to a small amount of bleeding puncture site, no other significant adverse reactions. Conclusion: The minimally invasive TBNA has a high diagnostic rate and safe operation, and has a high clinical value in the diagnosis of mediastinal hilar lesions.