Transbronchial needle aspiration of peripheral masses.
Transbronchial needle aspiration of peripheral masses.
复制标题
经支气管针吸周围肿块。
DOI：
10.1164/arrd.1983.128.6.1090
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
Fedullo,PF
中科院分区：
文献类型：
--
作者：
Shure,D;Fedullo,PF
采用20 G × 1cm的原型针，通过柔性纤维支气管镜对42例连续的支气管肺癌患者进行了经支气管针吸活检。抽吸前进行常规冲洗和刷拭，然后进行经支气管钳活检。在经支气管活检、刷拭和冲洗的标准组合中增加经支气管针吸活检显著提高了诊断率（48 - 69%，p = 0.046）。仅考虑直径≥ 2 cm的病变，经支气管针吸、刷拭和冲洗的组合上级经支气管活检、刷拭和冲洗（76 vs 52%，p =0.041）。经支气管针吸或经支气管活检均未发生并发症，但经支气管针吸比经支气管活检出血少。我们的结论是，经支气管针吸周围肿块病变是一个安全的程序，可以提高诊断率的柔性纤维支气管镜。
Transbronchial needle aspiration through a flexible fiberoptic bronchoscope was performed on peripheral lung masses in 42 consecutive patients with bronchogenic carcinoma using a 20-gauge by 1-cm prototype needle. The aspiration was preceded by routine washings and brushings and followed by transbronchial forceps biopsy. Adding transbronchial needle aspiration to the standard combination of transbronchial biopsy, brush, and wash significantly improved the diagnostic yield (48 to 69%, p = 0.046). Considering only lesions 2 cm or greater in diameter, the combination of transbronchial needle aspiration, brush, and wash was superior to transbronchial biopsy, brush, and wash (76 versus 52%, p =0.041). No complications occurred with either transbronchial needle aspiration or transbronchial biopsy, but transbronchial needle aspiration produced less bleeding than did transbronchial biopsy. We conclude that transbronchial needle aspiration of peripheral mass lesions is a safe procedure that can increase the diagnostic yield of flexible fiberoptic bronchoscopy.