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CT引导下经皮肺穿刺活检500例临床分析
引用本文:遆新宇,吴昌归,刘颖格,史皆然,陈卫强,赵峰,戴艳丽.CT引导下经皮肺穿刺活检500例临床分析[J].陕西医学杂志,2006,35(9):1115-1117.
作者姓名:遆新宇  吴昌归  刘颖格  史皆然  陈卫强  赵峰  戴艳丽
作者单位:第四军医大学西京医院呼吸内科,西安,710032
摘    要:目的:探讨CT引导下经皮肺穿刺对肺周围型肿块的诊断价值。方法:采用美国巴德公司生产自动弹簧装载活检针在CT定位下对500例肺部周围型肿块的穿刺活检。结果:500例均穿刺成功,阳性率为100%。其中肺癌384例、胸膜间皮瘤6例、转移癌47例;结核52例、肉芽肿样炎症6例、未能定论5例。结论:CT引导下经皮肺穿刺对诊断肺癌,尤其是周围型肺癌有重要价值:敏感性、特异性、准确性高,且较安全。

关 键 词:肺肿瘤/诊断  结节病  肺/诊断  肺肿瘤/放射照像术  断层摄影术  X线计算机  活组织检查  针吸
收稿时间:2005-09-28
修稿时间:2005-09-28

Study of effects of CT-guided percutaneous pulmonary biopsy on the diagnosis of peripheral pulmonary nodules
Ti Xinyu ,Wu Changgui, Liu Yingge ,et al.Study of effects of CT-guided percutaneous pulmonary biopsy on the diagnosis of peripheral pulmonary nodules[J].Shaanxi Medical Journal,2006,35(9):1115-1117.
Authors:Ti Xinyu  Wu Changgui  Liu Yingge  
Institution:Xi'an 710032
Abstract:Objective: To evaluate the diagnosis value of peripheral pulmonary nodules by CT-guided percutaneous pulmonary biopsy. Methods: A total of 500 cases of peripheral pulmonary nodules underwent US-made autospring gun CT-guided percutaneous pulmonary biopsy. Results: All operations were successful with the sensitivity of 100%. Among them, there were 384 cases of lung cancer,6 cases of mesothelioma,47 cases of metastatic carcinoma,52 cases of tuberculosis,6 cases of granuromatic and 5 cases undecided. Conclusion: CT-guided percutaneous pulmonary biopsy had a practical value for the diagnosis of lung cancer, particularly those with peripheral pulmonary nodules.
Keywords:Lung neoplasms/diagnosig Sarcoidosis  pulmonary/diagnosis L ang neoplasms/ radiography tomography  X-ray computed Biopsy  needle
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