Role of General Anesthesia and Rapid On-site Evaluation in the Diagnosis of Lung Cancer with EBUS-TBNA
10.3779/j.issn.1009-3419.2024.102.07
- VernacularTitle:全身麻醉及现场快速评价在EBUS-TBNA诊断肺癌中的价值
- Author:
HU YUHE
1
;
LI YUYING
Author Information
1. 646000 泸州,西南医科大学附属医院呼吸与危重症医学科
- Keywords:
Lung neoplasms;
Endobronchial ultrasound-guided transbronchial needle aspiration;
General anes-thesia;
Rapid on-site evaluation
- From:
Chinese Journal of Lung Cancer
2024;27(2):96-101
- CountryChina
- Language:Chinese
-
Abstract:
Background and objective Lung cancer is a common malignant tumor of respiratory system.Endo-bronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA)is a valuable tool for the diagnosis and staging of lung cancer.EBUS-TBNA is predominantly performed under local anesthesia or conscious sedation.However,the diagnostic performance of EBUS-TBNA under general anesthesia and in conjunction with rapid on-site evaluation(ROSE)remains un-certain.This study aims to investigate the value of general anesthesia and ROSE in the diagnosis of lung cancer with EBUS-TB-NA.Methods A retrospective analysis was conducted on 164 patients treated in the Department of Respiratory and Critical Care Medicine of The Affiliated Hospital of Southwest Medical University from January 2018 to December 2022.All patients were preoperatively suspected of lung cancer and underwent EBUS-TBNA.Based on whether they received general anesthesia and ROSE,the patients were divided into three groups:local anesthesia group(LA group)(n=54),general anesthesia group(GA group)(n=67)and general anesthesia with ROSE group(GA-ROSE group)(n=43).The puncture characteristics and diagnostic differences were analyzed among the groups.Results The number of lymph node puncture needles in the LA group was higher than in GA-ROSE group(P<0.01).The overall diagnostic rates of EBUS-TBNA for the three groups were 87.04%,89.55%and 90.70%,respectively,with malignant tumor diagnostic rates of 88.24%,88.89%and 94.74%.No statistically significant differ-ences were observed among the three groups(P>0.05).There were no instances of severe complications or adverse anesthesia reactions in any of the groups.Conclusion Compared to the combination of local anesthesia with intravenous analgesia and sedation,the implementation of EBUS-TBNA under general anesthesia,with or without ROSE,achieves equally accurate re-sults,and general anesthesia combined with ROSE can reduce in the number of lymph node puncture needles.
