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| CT导引下经皮纵隔肿块穿刺活检的临床应用 | |
| 引用本文： | 王栋,闫绍辉,景晓春,李洪波,郝洪波,李骋远,李克威,杜佳,计宝庆,明忠静,周丹,徐云柱. CT导引下经皮纵隔肿块穿刺活检的临床应用[J]. 现代肿瘤医学, 2012, 20(1): 74-77. DOI: 10.3969/j.issn.1672-4992.2012.01.24 |
| 作者姓名： | 王栋 闫绍辉 景晓春 李洪波 郝洪波 李骋远 李克威 杜佳 计宝庆 明忠静 周丹 徐云柱 |
| 作者单位： | 1. 河北省秦皇岛市山海关人民医院,河北,秦皇岛,066200 2. 河北省秦皇岛市肿瘤医院,河北,秦皇岛,066004 3. 河北省秦皇岛市柳江煤矿医院外科,河北,秦皇岛,066308 4. 江苏省宿迁市中医院影像科,江苏,宿迁,223800 |
| 摘 要： | 目的:探讨应用软组织切割针在CT导引下对纵隔肿块性病变穿刺活检技术及其临床的应用价值.方法:回顾性分析85例纵隔肿块性病变在CT导引下应用18G和20G软组织切割针进行穿刺活检的临床资料.结果:纵隔肿块穿刺技术成功率100%(85/85).病理明确诊断75例(88.2%),不能明确诊断10例;18G针活检39例、20G针活检46例,阳性率分别为92.3%、84.8%;≤3cm病灶18例,>3cm病灶67例,活检阳性率分别为83.3%、89.6%;胸腺类肿瘤、转移性肿瘤、恶性淋巴瘤、神经源性肿瘤活检阳性率分别为92.3%、93.8%、87.5%、63.6%,P<0.05有统计学意义.穿刺并发症发生率为11.8%.结论:CT导引下经皮穿刺活检对纵隔肿块性病变是一种安全有效的诊断方法,值得临床推广应用. |
| 关 键 词： | X线计算机 穿刺 纵隔 病理 分规导引 |
Clinical application of CT-guided mediastinal needle biopsy in mediastinal lesions |
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| Wang Dong,YAN Shaohui,JING Xiaochun,LI Hongbo,HAO Hongbo,LI Chengyuan,LI Kewei,DU Jia,JI Baoqing,MING Zhongjing,ZHOU Dan,XU Yunzhu. Clinical application of CT-guided mediastinal needle biopsy in mediastinal lesions[J]. Journal of Modern Oncology, 2012, 20(1): 74-77. DOI: 10.3969/j.issn.1672-4992.2012.01.24 | |
| Authors: | Wang Dong YAN Shaohui JING Xiaochun LI Hongbo HAO Hongbo LI Chengyuan LI Kewei DU Jia JI Baoqing MING Zhongjing ZHOU Dan XU Yunzhu |
| Affiliation: | 1Shanhaiguan Chinese Hospital of Qinhuangdao,Hebei Qinhuangdao 066200,China;2Cancer Hospital of Hebei,Hebei Qinhuangdao 066004,China;3Liujiang Coal Mine Hospital of Hebei,Hebei Qinhuangdao 066308,China;4Traditional Chinese Medical Hospital of Suqian,Jiangsu Suqian 223800,China. |
| Abstract: | Objective:To explore the clinical value of mediastinal needle biopsy under CT guidance.Methods: To retrospectively study the data of 85 mediastinal lesions using CT-guided percutaneous biopsy with 18G and 20G soft tissue cutting needle.Results: The accuracy of puncture was 100%(85/85);pathological diagnostic accuracy was 75(88.2%);39 cases of biopsy needle 18G,46 cases was 20G,the accuracy was 92.3%,84.8%;≦ 3cm lesion was 18 cases,﹥3cm was 67 cases,the biopsy positive rate was 83.3%,89.6%;thymic tumors,metastatic tumors,malignant lymphoma,neurogenic tumor biopsy accuray was 92.3%,93.8%,87.5%,63.6% respectively,P<0.05.Puncture complication rate was 11.8%.Conclusion: Mediastinal needle biopsy under CT guidance is a safe and effective procedure for the diagnosis of mediastinal masses. |
| Keywords: | X-ray computer puncture mediastinum pathology divider guide |
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