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CT引导下肺门病变的穿刺针吸活检
引用本文:曹林德,唐勇,彭湘晖,.CT引导下肺门病变的穿刺针吸活检[J].放射学实践,2009,24(4):437-440.
作者姓名:曹林德  唐勇  彭湘晖  
作者单位:桂林南溪山医院影像科,广西,541002
基金项目:作者简介:曹林德(1965),男,广西人,副主任医师,主要从事CT和MR诊断及介入工作.
摘    要:目的:探讨CT引导下肺门病变穿刺针吸活检的成功因素。方法:搜集肺门病变患者资料42例,采用Shimadzu CT引导,5mm层厚扫描,21G抽吸针;穿刺时尽可能在胸壁内调整好进针方向,首选经过阻塞性不张、炎性病变、粘连组织进入病灶,其次穿刺的距离最短,避开坏死组织,识别所取材料的可靠性。结果:总符合率为90.5%,误诊2例,不能明确诊断2例,未发生1例严重并发症。结论:CT导引下肺门病变针吸活检是在周围型病变穿刺活检基础上的技术进步,是获得肺门病变病理的又一项有效选择。

关 键 词:CT引导  肺门病变  针吸活检

CT-guided Needle Aspiration Biopsy of Tulmonary Hilar Disease
CAO Lin-de,TANG Yong,PENG Xiang-hui.CT-guided Needle Aspiration Biopsy of Tulmonary Hilar Disease[J].Radiologic Practice,2009,24(4):437-440.
Authors:CAO Lin-de  TANG Yong  PENG Xiang-hui
Institution:CAO Lin-de,TANG Yong,PENG Xiang-hui.Department of Radiology,Guilin Nanxishan Hospital,Guangxi 541002,P.R.China
Abstract:Objective:To investigate the success factors about CT-guided needle biopsy in hilar lung disease.Methods:42 cases with hilar of lung disease underwent biopsy by the use of CT guidance,using 5mm thickness scan and 21G aspiration needle.During biopsy the needle was adjusted to the best direction in the chest wall.The first choice of access was through obstructive atelectasis,inflammatory lesion and focal adhesive tissue.Next,the puncture of distance should be the shortest with avoidance of necrotic tissue and...
Keywords:CT-guided  Hilar lung disease  Biopsy  
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