Endobronchial Ultrasound Guided TBNA for the Diagnosis of Hilar and Mediastinal Lesions
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- Yasufuku Kazuhiro
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Chiyo Masako
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Yamada Yoshito
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Iwata Takekazu
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Koh Eitetsu
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Ishikawa Aki
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Moriya Yasumitsu
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Motohashi Shinichiro
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Iyoda Akira
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Sekine Yasuo
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Shibuya Kiyoshi
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Iizasa Toshihiko
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
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- Fujisawa Takehiko
- Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan
Bibliographic Information
- Other Title
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- 肺門・縦隔病変に対する超音波気管支鏡下生検法 : コンベックス走査式超音波気管支鏡ガイド下生検の有用性について(<ミニ特集>肺門・縦隔病変の診断)
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Abstract
肺門,縦隔病変に対する生検法には,全身麻酔下に行う縦隔鏡検査をはじめ,経気道的アプローチとしては経気管支針生検(transbronchial needle aspiration:TBNA),ラジアル走査式細径超音波プローブガイド下生検,経食道的アプローチでは経食道内視鏡超音波ガイド下生検,経皮的アプローチとしてはCTガイド下生検がある.しかし,これら従来の検査手技には到達できない病変の存在,合併症,そして何よりも診断率に問題があり,新たな検査法が望まれていた.著者らは2002年よりOlympus社とコンベックス走査式超音波気管支鏡(convex probe endobronchial ultrasonography:CP-EBUS)の共同開発を進め,気管,気管支周囲病変に対して本法を用いてきた.肺癌症例における切除肺標本を用いた基礎実験において肺門,縦隔リンパ節の描出およびリアルタイム超音波ガイド下穿刺を実現した.その後,臨床に応用し現在まで気管,気管支周囲病変260例に対して本法を使用してきた.本稿では肺門,縦隔病変に対するコンベックス走査式超音波気管支鏡の検査手技,適応疾患,画像所見,検査成績を中心に述べる.
Journal
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- The Journal of the Japan Society for Respiratory Endoscopy
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The Journal of the Japan Society for Respiratory Endoscopy 27 (2), 114-120, 2005
The Japan Society for Respiratory Endoscopy
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Keywords
Details 詳細情報について
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- CRID
- 1390282679726350080
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- NII Article ID
- 110002825786
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- NII Book ID
- AN00357687
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- ISSN
- 21860149
- 02872137
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed
