| CT引导下经皮肺穿刺活检术对肺隐球菌病的诊断价值 |
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| 引用本文： | 陈伟文,王志刚,叶晓艺,沈冰寒.CT引导下经皮肺穿刺活检术对肺隐球菌病的诊断价值[J].临床肺科杂志,2009,14(2):164-166. |
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| 作者姓名： | 陈伟文 王志刚 叶晓艺 沈冰寒 |
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| 作者单位： | 福建省医科大学附属泉州市第一医院呼吸科,362000 |
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| 摘 要： | 目的探讨CT引导下经皮肺穿刺活检术（PCNB）对肺隐球菌病的诊断价值。方法回顾性分析本院PCNB诊断肺隐球菌病的4例患者病例资料，所有4例患者均行痰涂片检查、胸X线检查、肺CT检查及纤维支气管镜检查、CT引导下经肺穿刺活检术（PCNB），检出物送病理检查。结果4例患者痰涂片、纤维支气管镜均为阴性，肺CT及胸X线表现为多发实变或结节状阴影。4例患者均经CT引导下行经肺穿刺活检术（PCNB），榆出物送病理检查找到隐球菌而确诊。穿刺后无明显并发症。结论对临床难于确诊的肺隐球菌病，CT引导下PCNB是一种安全有效的诊断方法。
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| 关 键 词： | 隐球菌病，肺 活组织检查，针吸 体层摄影术，X线计算机 |
Clinical application of CT-guided percutancous cutting needle biopsy (PCNB) in the diagnosis of pulmonary cryptococcosis |
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| CHEN Wei-wen,WANG Zhi-gang,YE Xiao-yi,SHEN Bing-han.Clinical application of CT-guided percutancous cutting needle biopsy (PCNB) in the diagnosis of pulmonary cryptococcosis[J].Journal of Clinical Pulmonary Medicine,2009,14(2):164-166. |
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| Authors: | CHEN Wei-wen WANG Zhi-gang YE Xiao-yi SHEN Bing-han |
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| Institution: | CHEN Wei-wen,WANG Zhi-gang,YE Xiao-yi,SHEN Bing-han. Department of Respiration,the First Affiliated Hospital of Quanzhou City to Fujian Medical University,Quanzhou 362000,China |
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| Abstract: | Objective To explore clinical application of CT-guided percutancous cutting needle biopsy(PCNB)in the diagnosis of pulmonary cryptococcosis.Methods 7 patients diagnosed as having pulmonary cryptococcosis by PCNB in our hospital from February to July of 2008 were retrospectively studied.None of them was diagnosed by taking other methods before PCNB,4 by staining of sputum,4 by chest radiography,4 by fiberoptic bronchoscopy,and 4 by CT scan.Results The results of examinations by staining of sputum and fiberop... |
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| Keywords: | cryptococcosis lung biopsy needle tomography X-ray computed |
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