超声引导下支气管针吸(EBUS-TBNA)在淋巴瘤患者中的作用

Bumhee Yang, J. Song, Kyunga Kim, Hojoong Kim, Kyungjong Lee
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摘要

超声引导下经支气管穿刺(EBUS-TBNA)对肺癌及良性疾病纵隔淋巴结病变的诊断具有较高的准确性。然而,EBUS-TBNA在诊断纵隔淋巴瘤中的应用尚不清楚。因此,在本研究中,我们评估EBUS-TBNA对淋巴瘤患者的诊断准确性以及影响淋巴瘤诊断的因素。2009年5月至2017年5月对EBUS-TBNA数据库进行回顾性分析。病理诊断为淋巴瘤的65例患者共131个淋巴结进行了评估。EBUS对患者淋巴瘤亚型的诊出率为57%(37/65),对淋巴结的诊出率为54%(71/131)。确诊的淋巴瘤患者和未确诊的淋巴瘤患者在年龄、分期和淋巴瘤类型上无显著差异。然而,诊断为淋巴瘤的淋巴结在淋巴结大小上具有统计学意义(p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in lymphoma patients
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is highly accurate in diagnosing mediastinal lymphadenopathies of lung cancer and benign disorders. However, the utility of EBUS-TBNA in the diagnosis of mediastinal lymphomas is unclear. So, in this study, we evaluate to determine the diagnositic accuracy of EBUS-TBNA in patients with lymphoma and the factors affecting the diagnosis of lymphoma. Between May 2009 and May 2017, EBUS-TBNA database was analyzed retrospectively. A total of 131 lymph nodes were evaluated in 65 patients pathologically diagnosed lymphoma. The diagnosis rates to subtype of lymphoma by EBUS were 57%(37/65) in patients and 54% in lymph nodes (71/131). There was no significant difference in age, staging, and type of lymphoma between the diagnosed lymphoma patients and non-diagnosed lymphoma patients. However, lymph node diagnosed with lymphoma were statistically significantly larger in lymph node size (p
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