Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Endobronhialni ultrazvok v diagnostiki sprememb dihalnih poti in sprememb v mediastinumu = Endobronchial ultrasound in the diagnosis of tracheobronchial and mediastinal lesions
    Triller, Nadja ; Kern, Izidor
    Background. Endobronchial ultrasound (EBUS) is a diagnostic procedure that allows visualisation of tracheobronchial and peribronchial lesions, mediastinal lymph nodes and adjacent vascular ... structures. EBUS improves the diagnostic yield of transbronchial needle aspiration (TBNA). We present our initial experience with the technique. Patients and methods. EBUS was performed in 31 subjects with intrapulmonary or mediastinal lesions detected on chest X-rays and/or CT scans. Bronchoscopy was performed under topical lidocaine mucosal anaesthesia. A radial 20 MHz ultrasound probe with a ballooncatheter was advanced through the working channel of the fibre-optic bronchoscope. The balloon was filled with deaerated water to provide a medium for ultrasound transmission. After the region of interest had been localised, TBNA was performed. The aspirated material was examined by a cytopathologist. Results. From October 2001 to April 2002, 31 patients, 20 males and 11 females, aged from 23 to 78 years (median age 59 years), underwent EBUS. EBUS-guided TBNA of extramural masses and lymph nodes of the mediastinum was performed in 29 of our patients; in 2 patients aneurysms were found. Lymph node enlargement and involvement was diagnosed correctly in 21 of 25 patients (84%), and extramural tumours in 3 of 4 patients (75%); 16 patients had malignant diseases and 8 had benign lesions. In 5 patients with unclear findings, the ultimate diagnosis was made at surgery:adenocarcinoma, thymoma, two squamous cell carcinomas and Castlemans disease. No major complications were encountered after EBUS guided TBNA, the procedure was well tolerated. Conclusions. EBUS guided TBNA is well tolerated and has few complications. Thediagnostic yield is high.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 7, št. 16/17, apr./jun. 2002, str. 41-46)
    Vrsta gradiva - članek, sestavni del
    Leto - 2002
    Jezik - slovenski
    COBISS.SI-ID - 15251161

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