摘要超声引导下经支气管针吸活检术(EBUS-TBNA)是近年来发展的新技术,气管内实时超声引导可提高经支气管针吸术对纵隔和肺门病变的诊断率,且安全性高.EBUS-TBNA目前主要用于肺癌的诊断、临床分期以及纵隔病变如结节病、结核的诊断,尚有报道其用于纵隔病变如纵隔囊肿、纵隔脓肿等的治疗.随着其应用范围的推广,相关的并发症报道也逐渐增多.本文将对EBUS-TBNA相关的并发症发生率、类别、危险因素、预防与处理等进行介绍,对相关文献进行回顾.

abstractsEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a new bronchoscopic technique.Real time EBUS guidance significantly increases the diagnosis rate of TBNA on mediastinal and hilar lesions,and EBUS-TBNA is safe.Now,EBUS-TBNA is mainly used for stage of lung cancer and diagnosis of mediastinal lesions such as sarcoidosis,tuberculosis.Further,it has been reported that EBUS-TBNA is used for the treatment of mediastinal lesions such as mediastinal cyst and mediastinal abscess.As the application scope of EBUS-TBNA expanding,realated complications are also increasing gradualy.This article discribes the occurrence rate,classification,risk factors,precaution and treatment of EBUS-TBNA related complications,reviews the published literatures.