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CT模拟定位系统引导下经皮肺穿刺在老年肺部肿块的临床应用
引用本文:袁志军,罗以,王倩之,吴尉,谢冠慧.CT模拟定位系统引导下经皮肺穿刺在老年肺部肿块的临床应用[J].实用预防医学,2010,17(4):740-741.
作者姓名:袁志军  罗以  王倩之  吴尉  谢冠慧
作者单位:湖南省肿瘤医院内二科,湖南,长沙,410013
摘    要:目的评价CT模拟定位系统(CTS)引导下经皮肺穿刺在诊断老年周围性肺占位病变的临床应用价值。方法2005年1月-2010年1月,应用弹簧芯状活检针在CTS引导下对老年肺部肿块患者行经皮肺穿刺并经病理和临床随访证实,对其中具有完整资料的124例老年病人进行回顾性总结分析。结果对124例病人的124个病灶共进行了141次穿刺活检,全部病例取得了满意的组织学标本,取材成功率为100%。其中恶性肿瘤112例,良性病变12例,总诊断准确率为100%。气胸发生率为5.6%。咯血发生率为12.1%,未发生大出血。结论CTS引导下弹簧芯状活检针经皮肺穿刺活检对老年性肺癌的诊断是一种准确性高,安全可靠又简单易行的诊断方法。

关 键 词:老年病人  经皮肺活检  CT模拟定位系统

Clinical Application of CTS-guided Percutaneous Transthoracic Biopsy in Elder Patients with Lung Mass
YUAN Zhi-jun,LUO Yi,WANG Qian-zhi,et al..Clinical Application of CTS-guided Percutaneous Transthoracic Biopsy in Elder Patients with Lung Mass[J].Practical Preventive Medicine,2010,17(4):740-741.
Authors:YUAN Zhi-jun  LUO Yi  WANG Qian-zhi  
Institution:YUAN Zhi-jun,LUO Yi,WANG Qian-zhi,et al.(The Second Department of Internal Medicine,Hunan Tumor Hospital,Changsha 410013,Hunan,China)
Abstract:Objective To evaluate the clinical value of CTS-guided percutaneous transthoracic biopsy for the diagnosis of pulmonary lesions in elder patients.Methods The intact data of 124 elder patients underwent percutaneous pulmonary biopsy with a spring-core biopsy needle under CTS guidance were analyzed.The diagnoses of all the cases were confirmed by pathology and follow-up.Results One hundred and twenty-four lung biopsies were performed on 124 patients and satisfactory tissue specimens obtained in all patients,w...
Keywords:Elder patients  Transthoracic needle biopsy of lung  CTS  
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