Endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of thoracic tuberculosis

VernacularTitle:支气管内超声引导针吸活检术(EBUS-TBNA)在胸内淋巴结结核诊断中的应用价值
Author: Zhen XIE ; Hui ZHAO ; Hongfang ZHENG ; Danhua SHEN ; Jun WANG
Publication Type:Journal Article
Keywords: Tuberculosis; Endobronchial ultrasound; Transbronchial needle aspiration; Diagnosis
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2013;29(12):739-742
CountryChina
Language:Chinese
Abstract: Objective To evaluated the role of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in the diagnosis of thoracic tuberculosis.Methods The study was retrospective,from September 2009 to September 2012,38 patients who underwent EBUS-TBNA were finally diagnosed of thoracic tuberculosis,with enlarged hilar or mediastinal Iymph nodes on chest enhanced computed tomography(≥ 1.0 cm).Patients in whom EBUS TBNA was nondiagnostic subsequently underwent surgical biopsy.All the patients had a minimum of 6 months clinical and radiologic follow-up.Results EBUS-TBNA was performed on a total of 88 lymph node stations in 38 patients.Of the enlarged lymph nodes,60(68.18％) were located in the mediastinal region and the remaining 28 (31.82 ％) around the hilum or interlobar area.Of the 38 patients,EBUS-TBNA achieved definitive diagnosis in 34 patients(89.47％).EBUS was well tolerated by all of the patients with no complications.Conclusion EBUS-TBNA is a safe procedure with a high yield for the diagnoses of thoracic tuberculosis.