临床荟萃
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摘要： 纵隔疾病是临床常见的一组疾病，包括胸腺瘤、纵隔囊肿、结节病等良性疾病，以及恶性疾病如纵隔恶性肿瘤、淋巴瘤、各种癌症纵隔淋巴结转移等。纵隔疾病临近大血管诊断困难，CT及正电子发射计算机断层（PET）扫描仅可提供形态学诊断，不能获得组织病理学诊断。超声支气管镜引导下经支气管针吸活检术、纵隔镜、食管超声引导的细针穿刺活检等微创检查技术，近年来发展迅速，可获得组织病理学诊断，显著提高纵隔疾病的诊断率。
关键词: 纵隔疾病, 支气管镜检查, 纵隔镜, 活组织检查, 针吸
Abstract: Mediastium lesion is a very common group of diseases in clinical work， such as thymoma， sarcoidosis，lymphoma， metastases of mediastinal lymph nodes， and so on. The diagnosis of mediastium lesion is diffcult. The diagnosis of patients with mediastium lesions in recent decades has increasingly relied on minimally invasive tissue sampling techniques， such as endobronchial ultrasoundguided transbronchial needle aspiration， endoscopic ultrasoundguided fineneedle aspiration and mediastinoscopy.
Key words: mediastium lesion；bronchoscopy；mediastinoscopy；biopsy, needle
段争，袁雅冬. 纵隔疾病的诊断进展[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2016.11.004.
Duan Zheng， Yuan Yadong. Advance in diagnosis of mediastium lesion[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2016.11.004.
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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2016.11.004
https://huicui.hebmu.edu.cn/CN/Y2016/V31/I11/1174
