经食管和经气管超声内镜引导下对纵隔及肺门病变穿刺的研究进展
Transesophageal and trans-tracheal ultrasonography-guided puncture for mediastinal and hilar lesions
沈妍华 1刘爱群1
作者信息
- 1. 广西医科大学附属肿瘤医院内镜中心 广西 南宁 530021
- 折叠
摘要
纵隔及肺门占位性病变是临床上较常见的疾病.超声内镜引导的经支气管针吸活检(EBUS-TBNA)和超声内镜引导下的针吸活检(EUS-FNA)对纵隔及肺门病变诊断和外科手术、经支气管针吸活检、CT引导下经皮穿刺等方法比较均有明显的优势,同时也存在仪器耗材价格昂贵、人员培训缺乏评价标准及穿刺物量较少等问题.超声支气管镜经食管进行穿刺以及EBUS-TBNA和EUS-FNA联合多种基因在内的二代测序技术能够为患者提供更加舒适、快捷和精准的诊断.
Abstract
Mediastinal and hilar lesions are common clinical diseases,and endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA)and endoscopic ultrasonography guided fine-needle aspiration(EUS-FNA)have obvious advantages over surgery,transbronchial needle aspiration biopsy,and CT-guided puncture in the diagnosis of mediastinal and hilar lesions,but there are also the problems of expensive instrumentation and consumables,lack of evaluation criteria for personnel training,and small amount of puncture material.Endoscopic transesophageal fine-needle aspiration using the bronchoscope endoscopic ultrasound fine-needle aspiration and second-generation sequencing technology including EBUS-TBNA and EUS-FNA combined with multiple genes can provide patients with more comfortable,quicker and precise diagnosis.
关键词
EBUS-TBNA/EUS-FNA/纵隔及肺门病变/综述Key words
EBUS-TBNA/EUS-FNA/Mediastinal and hilar lesions/Review引用本文复制引用
出版年
2024
NETL
NSTL
万方数据