| CT导引下胸内肿物穿刺活检22例临床分析 |
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| 引用本文： | 卢健祥,陈龙华.CT导引下胸内肿物穿刺活检22例临床分析[J].南方医科大学学报,2002,22(3):234-235. |
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| 作者姓名： | 卢健祥 陈龙华 |
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| 作者单位： | 1. 东莞市太平人民医院CT中心,广东东莞,523900
2. 第一军医大学南方医院放疗科,广东广州,510515 |
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| 摘 要： | 目的探讨CT导引下的胸壁穿刺活检对胸内占位性病变的诊断价值。方法对22例行CT导引下胸壁穿刺活检的病例进行总结分析,该组患者均为CT扫描发现胸部肿物而难以明确诊断者。结果所有病例均穿刺成功并获组织学和细胞学材料,送检共发现19例为恶性病变;组织学诊断有18例为恶性病变,细胞学诊断有5例为恶性病变。穿刺中和穿刺后,发生气胸2例、痰中带血1例。结论CT导引下的胸壁穿刺活检是一种有效的诊断手段,自动切割针可以较好地获得组织学标本,细胞学和组织学检查互补可提高检出率。
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| 关 键 词： | 胸腔 肿物 活检 CT导引 |
| 文章编号： | 1000-2588(2002)03-0234-02 |
| 修稿时间： | 2001年8月12日 |
Analysis of 22 cases of CT-guided puncture biopsy for chest tumors |
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| LU Jian-xiang ,CHENLong-hua CT DiagnosticCentre,TaipingPeople'sHospital,Dongguan,China,.Analysis of 22 cases of CT-guided puncture biopsy for chest tumors[J].Journal of Southern Medical University,2002,22(3):234-235. |
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| Authors: | LU Jian-xiang CHENLong-hua CT DiagnosticCentre TaipingPeople'sHospital Dongguan China |
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| Institution: | LU Jian-xiang 1,CHENLong-hua 21 CT DiagnosticCentre,TaipingPeople'sHospital,Dongguan523900,China,2 Departmentof Radiotherapy,Nanfang Hospital,FirstMilitaryMedicalUniversity,Guangzhou510515,China |
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| Abstract: | Objective To evaluatetheapplicationof CT-guidedpuncturebiopsyfor diagnosesof tumorschest.Methods Twenty-twopatientswiththoracictumorsthatwerenot pathologicallyidentifiedreceivedCT-guidedpuncturebiopsyfor histologicaland cytologicalexamination.Results Allbiopsyproceduresweresuccessfullycompletedand18caseswere identifiedas havingmalignanttumorsby histologicalexaminations,while5identifiedby cytologicalexaminations,and definitepathologicaldiagnoseswereestablishedin19cases.Pneumatothoraxoccurredin2casesandbloodysputumdeveloped in1case.Conclusions CT-guidedpuncturebiopsymay providebetterbiopsysamplesand pathologicalsupplementedby cytologicalexaminationsimprovetheaccuracyof diagnoses. |
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| Keywords: | thorax tumor puncturatiobiopsy CT-guided |
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