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目的探讨经支气管镜针吸活检术在纵膈病变中诊断及鉴别诊断中的临床价值。方法筛选2013年1月至2014年1月我院收治的纵膈病变患者62例,作为研究对象。对所有患者在纤维支气管镜下对纵膈淋巴结行针吸活检术,分析统计检出率并比较病情鉴别情况。结果经支气管镜针吸活检术检出阳性率为58例(93.55%),对病变性质评价良性病变33例(97.06%),恶性病变25例(89.29%),与临床确诊证实比较无显著差异(P>0.05)。结论经支气管镜针吸活检术对纵膈病变具有较高的鉴别及鉴别诊断正确率,并且操作较为简单,对患者医源性损伤较小,具有临床应用及推广价值。
Objective To investigate the clinical value of transbronchial needle aspiration biopsy in the diagnosis and differential diagnosis of mediastinal lesions. Methods Sixty-two patients with mediastinal lesions admitted to our hospital from January 2013 to January 2014 were selected as the study subjects. All patients underwent fiberoptic bronchoscopy for mediastinal lymph node needle aspiration biopsy, analysis of statistical detection rate and to compare the status of the disease. Results The positive rate of bronchoscopy was 58 cases (93.55%), 33 cases of benign lesions (97.06%) and 25 cases of malignant lesions (89.29%), which were not significantly different from those of clinical diagnosis (P> 0.05). Conclusions Transbronchial needle aspiration biopsy has a high accuracy in differential diagnosis of mediastinal mediastinum. The operation is relatively simple and has less iatrogenic injury to patients. It has clinical application and promotion value.