天津医药

天津医药 ›› 2021, Vol. 49 ›› Issue (6): 633-635.doi: 10.11958/20210657

• 技术规范 • 上一篇    下一篇

气管内超声引导建隧活检术及规范操作要点 #br#

冯靖，石瑜
  

  1. 天津医科大学总医院呼吸与危重症医学科（邮编300052）

  • 收稿日期:2021-03-22 修回日期:2021-04-07 出版日期:2021-06-15 发布日期:2021-06-15
  • 通讯作者: 冯靖 E-mail:zyyhxkfj@126.com

EBUS-TDB, endobronchial ultrasound guided tunnel- drilling biopsy #br#

FENG Jing, SHI Yu #br#   

  1. Department of Respiratory and Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin 300052, China
  • Received:2021-03-22 Revised:2021-04-07 Published:2021-06-15 Online:2021-06-15
  • Contact: FENG Jing E-mail:zyyhxkfj@126.com

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摘要： 结节病、结核、肿瘤、淋巴结炎症等疾病可致肺门、纵隔淋巴结肿大，但其缺乏特征性临床表现及影像学改
变，故确诊难度较大。气管内超声引导针吸活检（EBUS-TBNA）是在气管内超声（EBUS）引导下，对气管支气管外、肺
门与纵隔、血管及淋巴结等组织进行分辨，穿刺病变组织，从而获取组织、细胞学病理诊断的介入呼吸病学技术。在
EBUS-TBNA基础上，EBUS引导建隧活检术（EBUS-TDB）可进一步提高肺门及纵隔疾病诊断的敏感性和特异性。

关键词: 活组织检查, 针吸, 支气管镜检查, 气管内超声引导建隧活检术

Abstract: Sarcoidosis, tuberculosis, malignant tumor, lymphadenitis and other diseases can cause hilar and mediastinal
lymphadenopathy, mainly including sarcoidosis, tuberculosis, tumor and lymphadenitis, but lack of characteristic clinical
manifestations and imaging changes, so the diagnosis is more difficult. Endobronchial ultrasound guided transbronchial
needle aspiration (EBUS-TBNA) is an interventional pulmonary technology for cytopathological or histopathological
diagnosis by puncturing to obtain diseased tissues, which is guided by endobronchial ultrasound (EBUS) to distinguish the
extratracheobronchial hilar and mediastinal lesions, blood vessels and lymph nodes. On the basis of EBUS-TBNA,
endobronchial ultrasound guided tunnel- drilling biopsy (EBUS-TDB) can improve the sensitivity and specificity of
diagnosis further for hilar and mediastinal diseases.

Key words: biopsy, needle, bronchoscopy, endobronchial ultrasound guided tunnel drilling biopsy