İntratorasik lenfadenopatilerin tanısında konvansiyonel yöntem ve ultrason rehberliğinde transbronşiyal iğne aspirasyonu teknikleri

İntratorasik lenfadenopatilerin tanısında kullanılan minimal invaziv yöntemlerden konvansiyonel transbronşiyal iğne aspirasyonu (TBİA) etkili, güvenli ve ucuz bir bronkoskopi tekniğidir. Son yıllarda pnömonolojideki en önemli gelişmelerden olan endobronşiyal ultrason (EBUS) rehberliğinde TBİA ise bronkoskopik tekniklerin tanı spektrumunu genişletmiştir. Günümüzde radial ve konveks problu olmak üzere iki farklı EBUS cihazı kullanılmaktadır. Konveks prob EBUS’un en önemli avantajı örnek alınırken eş zamanlı görüntüye olanak sağlamasıdır. Tanısal başarının arttırılması için gerek konvansiyonel gerekse ultrason rehberliğindeki TBİA uygulamalarının yaygınlaşması invaziv cerrahi prosedürlere olan gereksinimi azaltabilir.

Conventional method and ultrasound guided transbronchial needle aspiration techniques in the diagnosis of intrathoracic lymphadenopathies

Conventional transbronchial needle aspiration (TBNA) is one of the minimally invasive methods used for the diagnosis of intrathoracic lymphadenopathies, which is an effective, safe and cheap bronchoscopic technique. Endobronchial ultrasound (EBUS) guided TBNA is one of the most important advances in pneumology in recent years and has extended the diagnostic spectrum of bronchoscopic techniques. Today there are two different types of ultrasound probes for use with EBUS: radial and convex. The most important advantage of convex probe EBUS is that it allows real-time imaging while sample taken. To increase the diagnostic success, expansion of both conventional and ultrasound guided TBNA applications may reduce the need for invasive surgical procedures.

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