经支气管针吸活检术的几个常见认识误区

doi:10.6040/j.issn.1671-7554.0.2016.1623

山东大学学报（医学版） ›› 2017, Vol. 55 ›› Issue (4): 30-33.doi: 10.6040/j.issn.1671-7554.0.2016.1623

经支气管针吸活检术的几个常见认识误区

刘庆华¹,赵娜²,王成²

1.山东大学附属省立医院(东院)呼吸科, 山东济南 250014;2.山东中医药大学研究生, 山东济南 250000

收稿日期:2016-12-06 出版日期:2017-04-10 发布日期:2017-04-10
通讯作者: 刘庆华. E-mail:lzlqhlz@163.com E-mail:lzlqhlz@163.com
基金资助:
山东省科技发展重点研发计划(2015GSF118184)

Misunderstanding of transbronchial needle aspiration biopsy utilization

LIU Qinghua¹, ZHAO Na², WANG Cheng²

1. Department of Pulmonary Medicine, Shandong Provincial Hospital Affiliated to Shandong University(East Hospital), Jinan 250014, Shandong, China;
2. Shandong University of Traditional Chinese Medicine, Jinan 250000, Shandong, China

Received:2016-12-06 Online:2017-04-10 Published:2017-04-10

摘要/Abstract

摘要： 经支气管针吸活检术(TBNA)是一种常用的呼吸内镜介入技术,广泛用于肺癌的诊断和分期,长期以来得到临床医生的充分认可。遗憾的是,在临床实践中仍存在不同程度的认识误区。为深化对该技术的科学认识,本文简要阐述该技术临床应用过程中几个常见的认识误区。

关键词: 经支气管针吸活检术, 支气管镜, 介入肺脏病学

Abstract: Transbronchial needle aspiration(TBNA)is a common technique, being widely used in the diagnosis and stage of lung cancer for many years. Though it is appealed by clinicians, however, there are still some misunderstanding aspects in practice which affects its utilization. In order to deepen the understanding of TBNA, we briefly illustrate several common misunderstanding aspects about the application of this technique.

Key words: Transbronchial needle aspiration, Bronchoscopy, Interventional pulmonology

中图分类号:

R446.8

刘庆华,赵娜,王成. 经支气管针吸活检术的几个常见认识误区[J]. 山东大学学报（医学版）, 2017, 55(4): 30-33.

LIU Qinghua, ZHAO Na, WANG Cheng. Misunderstanding of transbronchial needle aspiration biopsy utilization[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(4): 30-33.

参考文献

[1] Xia Y, Wang KP. Transbronchial needle aspiration: where are we now?[J]. J Thorac Dis, 2013, 5(5): 678-682.
[2] Dasgupta A, Mehta AC. Transbronchial needle aspiration. An underused diagnostic technique[J]. Clin Chest Med, 1999, 20(1): 39-51.
[3] Wang K, Terry P. Transbronchial needle aspiration in the diagnosis and staging of bronchogenic carcinoma[J]. Am Rev Respir Dis, 1983, 127(3): 344-347.
[4] Wang KP. Flexible transbronchial needle aspiration biopsy for histologic specimens[J]. Chest, 1985, 88(6): 860-863.
[5] Zhang Y, Wang KP. Evolution of transbronchial needle aspiration-a hybrid method[J]. J Thorac Dis, 2013, 5(3): 234-239.
[6] Bilaceroglu S, Chhajed P. Transbronchial needle aspiration: a diagnostic tool in routine bronchoscopy[J]. J Assoc Physicians India, 2005, 53: 797-802.
[7] Liu Q, Han S, Arias S, et al. Efficacy and adequacy of conventional transbronchial needle aspiration of IASLC stations 4R, 4L and 7 using endobronchial landmarks provided by the Wang nodal mapping system in the staging of lung cancer[J]. Thorac Cancer, 2016, 7(1): 118-122.
[8] Wang KP. Staging of bronchogenic carcinoma by bronchoscopy[J]. Chest, 1994, 106(2): 588-593.
[9] Liu QH, Ben SQ, Xia Y, et al. Evolution of transbronchial needle aspiration technique[J]. J Thorac Dis, 2015, 7(Suppl 4): S224-S230.
[10] Liu QH, Arias S, Wang KP. International association for the study of lung cancer map, Wang lymph node map and rapid on-site evaluation in transbronchial needle aspiration[J]. J Thorac Dis, 2016, 8(9): E869-E874.
[11] Medford AR, Bennett JA, Free CM, et al. Endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA): applications in chest disease[J]. Respirology, 2010, 15(1): 71-79.
[12] Rong F, Xiao SH, Liu J, et al. A comparative research on the conventional transbronchial needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of mediastinum lesions[J]. Zhonghua Jie He He Hu Xi Za Zhi, 2011, 34(2): 120-122.
[13] Wang KP, Browning R. Transbronchial needle aspiration with or without endobronchial ultrasound[J]. Thoracic Cancer, 2010, 1(2): 87-93.
[14] Herth FJ, Eberhardt R, Krasnik M, et al. Endobronchial ultrasound-guided transbronchial needle aspiration of lymph nodes in the radiologically and positron emission tomography-normal mediastinum in patients with lung cancer[J]. Chest, 2008, 133(4): 887-891.
[15] Jiang J, Browning R, Lechtzin N, et al. TBNA with and without EBUS: a comparative efficacy study for the diagnosis and staging of lung cancer[J]. J Thorac Dis, 2014, 6(5): 416-420.
[16] Striffolino CB, Moore T. Flexible bronchoscopy with transbronchial needle aspiration confirmed by endobronchial ultrasound[J]. Gastroenterol Nurs, 2011, 34(3): 243-244.
[17] Schenk DA, Chambers SL, Derdak S, et al. Comparison of the Wang 19-gauge and 22-gauge needles in the mediastinal staging of lung cancer[J]. Am Rev Respir Dis, 1993, 147(5): 1251-1258.
[18] Mohamed SA, Ahmed Y, Hussein K, et al. Diagnostic utility of transbronchial needle aspiration in malignant endobronchial lesions: relevance to lesions’ characteristics[J]. J Respir Med, 2013, 2013(7). DOI:10.1155/2013/756483.
[19] Agarwal R, Aggarwal AN, Gupta D. Efficacy and safety of conventional transbronchial needle aspiration in sarcoidosis: a systematic review and meta-analysis[J]. Respir Care, 2013, 58(4): 683-693.
[20] Wang KP, Mwhta AC, Jr. Turner JF. Flexible Bronchoscopy(3rd ed)[M]. Wiley-Blackwell: New Jersey, 2012: 127-145.
[21] 刘庆华,Ko-Pen Wang.快速现场评估在经支气管针吸活检中的应用进展和存在问题[J]. 中华结核和呼吸杂志, 2015, 38(7): 549-550.

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经支气管针吸活检术的几个常见认识误区

Misunderstanding of transbronchial needle aspiration biopsy utilization

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