Clinical value of transbronehial needle aspiration in the diagnosis of mediastinal occupied lesions

doi:10.3969/j.issn.1674-490X.2015.05.003

Abstract

Abstract: Objective Objective To evaluate the value of transbronehial needle aspiration(TBNA)in the diagnosis of mediastinal occupied lesions. Methods A retrospective study was conducted in 68 consecutive patients with mediastinal occupied lesions. The patients underwent TBNA by using a flexible bronchoscope from July 2013 to October 2014. Results In all patients, the diagnostic rate was 32.35% by routine bronchoscopy(22/68), and TBNA achieved definitive diagnoses in 57 patients (83.82%). The sensitivity, specificity, accuracy of TBNA in distinguishing malignant mediastinal lesions were 95.45%(42/44), 62.5%(15/24) and 83.82%(57/68) respectively. EBUS was well tolerated by all of the patients, and 2 patients showed bleeding a little at the puncture site, who did not need special treatment. Conclusion With the rapid developments of new technology, the TBNA of mediastinal occupied lesions is still a minimally invasive and safe diagnostic technique.

Key words: bronchoscopy, needle biopsy, mediastinal occupied lesions

CLC Number:

YANG Zexi, ZHANG Zeming, AN Lei, LI Xiangyun. Clinical value of transbronehial needle aspiration in the diagnosis of mediastinal occupied lesions[J]. Medical Reserch and Education, 2015, 32(5): 10-13.

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