Avtor/Urednik		Triller, Nadja; Kecelj, Peter; Kern, Izidor
Naslov		Endobronhialni ultrazvok v diagnostiki povečanih mediastinalnih bezgavk in perifernih pljučnih lezij
Prevedeni naslov		Endobronchial ultrasound in diagnosis of enlarged mediastinal lymph nodes and peripheral pulmonary lesions
Tip		članek
Vir		In: Crnjac A, editor. Zbornik predavanj Strokovni simpozij z mednarodno udeležbo ob 50-letnici Oddelka za torakalno kirurgijo; 2004 nov 19; Maribor. Maribor: Splošna bolnišnica Maribor,
Leto izdaje		2004
Obseg		str. 89-94
Jezik		slo
Abstrakt		Background. Endobronchial ultrasound (EBUS) is a diagnostic procedure that allows visualisation of tracheobronchial and peribronchial lesions, mediastinal lymph nodes, adjacent vascular structures and peripheral pulmonary lesions. EBUS improves diagnostic yield of transbronchial needle aspiration (TBNA) and bronchoscopic lung biopsy (BLB). We examined the diagnostic yield of EBUS guided TBNA and BLB in clinical circumstances. Patients and method. EBUS was performed in 105 subjects with enlarged mediastinal lymph nodes or peripheral pulmonary lesions, detected on chest X-ray andlor CT-scan. Bronchoscopy was performed under topical lidocaine mucosal anaesthesia. A radial, 20 MHz ultrasound probe was advanced through the working channel of the fiberbronchoscope. After the region of interest had been localised, TBNA or BLB were performed. Samples were reviewed by a cytopathologist. Results. One-hundred and five patients, 83 male and 22 female, aged between 20 and 79 years (median age 55 years), undenvent EBUS examination. TBNA of enlarged lymph nodes was performed in 75 patients and BLB of peripheral pulmonary lesions in 30 of them. Lymph nodes pathology was correctly diagnosed in 65 (87%). Thirfy patients had measurable peripheral pulmonary lesions. The mean diameter of the lesion was 34 mm (18 mm - 80 mm). Samples taken with EBUS were diagnostic in 24 (80%) patients. No major complications were encountered after EBUS guided TBNA and BLB. The procedure was tolerafed well. Conclusions. EBUS guided TBNA and BLB are well tolerated procedures and have few complications. The diagnostic yield for both procedures is high.
Deskriptorji		LUNG DISEASES BRONCHOSCOPY LYMPHATIC METASTASIS LYMPHADENITIS MEDIASTINUM