| CT引导下经皮肺穿刺活检诊断肺部疾病的临床应用 |
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| 引用本文： | 徐文秀,刘斌,邵友忠,叶俊,魏志勇,郭祖道,唐照燕,张健,韩祥英,张湛.CT引导下经皮肺穿刺活检诊断肺部疾病的临床应用[J].安徽医学,2011,32(1):73-75. |
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| 作者姓名： | 徐文秀 刘斌 邵友忠 叶俊 魏志勇 郭祖道 唐照燕 张健 韩祥英 张湛 |
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| 作者单位： | 徐文秀,刘斌(安徽医科大学第一附属医院放射科,合肥,230022);邵友忠,叶俊,魏志勇,郭祖道,唐照燕,张健,韩祥英,张湛(安徽省肥西县人民医院,合肥,230021) |
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| 摘 要： | 目的探讨CT引导下经皮肺穿刺活检对肺部病变诊断的价值。方法回顾性分析2007年至2010年间62例经CT定位引导下应用切割式活检针经皮穿刺活检资料,细胞学、病理学检查资料及随访结果。结果 62例患者病灶穿刺成功率100%。确定病理或细胞学诊断61例（98.55%）（恶性肿瘤41例,其中鳞癌19例,腺癌16例,腺鳞癌1例,侵袭性胸腺瘤1例,2例细胞学查见癌细胞,病理学因组织少而未能分型;1例细胞学未查见癌细胞而病理诊断为低分化腺癌;未明确诊断1例（随访为恶性）;炎性病变14例;结核4例;包裹性积液3例。术后并发症发生率25.81%,气胸4例,局部出血12例,其中血胸5例,术中咯血2例,均无需特殊处理。结论 CT引导下经皮肺穿刺活检成功率与病理诊断率高,可为临床治疗方案的选择提供可靠依据。
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| 关 键 词： | 肺穿刺活检 体层摄影术 X线计算机 |
The Application of Percutaneous Lung Biopsy for Pulmonary Diseases under CT-Guilded |
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| Xu Wenxiu,Liu Bin,Shao Youzhong,et al.The Application of Percutaneous Lung Biopsy for Pulmonary Diseases under CT-Guilded[J].Anhui Medical Journal,2011,32(1):73-75. |
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| Authors: | Xu Wenxiu Liu Bin Shao Youzhong |
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| Institution: | Xu Wenxiu,Liu Bin,Shao Youzhong,et al Department of Radiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China |
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| Abstract: | Objective To investigate the clinical application of percutaneous lung biopsy for pulmonary diseases under CT-guilded.Methods The date of percutaneous lung biopsy by biopsy instrument under CT-guilded in 62 patients were analyzed retrospectively.Results The successful rate of puncture was 100%.Sixty-one cases had defined pathological diognosis but one case.The incidence of postoperative complications was 25.81%,(4 pneumothorax,12 local hemorrhage,2 hemoptysis),which were relieved after corresponding treatme... |
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| Keywords: | Lung biopsy Tomography X-ray computed |
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