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CT引导下经皮胸部穿刺活检术的临床应用研究
引用本文:杨军乐,董季平,高德宏,宁文德,阎锐,杨国棠. CT引导下经皮胸部穿刺活检术的临床应用研究[J]. 中国临床医学影像杂志, 2002, 13(3): 182-183,195
作者姓名:杨军乐  董季平  高德宏  宁文德  阎锐  杨国棠
作者单位:西安市中心医院影像中心,陕西,西安,710003
摘    要:目的:探讨CT引导下经皮胸部穿刺活检术的准确性、并发症及临床意义。材料与方法:96例病变,其中肺部病变88例,胸膜病变5例,纵隔病变3例。病变大小1.0cm×1.2cm×2.0cm~9.0cm×10.5cm×8.5cm。在CT引导下用细针经皮胸部穿刺活检,病变经手术病理、细胞学及临床随访证实。结果:96例病变中,肺癌68例,肺转移瘤3例,结核6例,胸膜间皮瘤5例,胸腺瘤3例,炎症11例。穿刺准确率为91.7%(88?96),发生气胸14例。结论:CT引导下经皮胸部穿刺活检是一种相对安全、简单准确的诊断方法。

关 键 词:胸部疾病 活组织检查 针吸 体层摄影术 X线计算机
文章编号:1008-1062(2002)03-0182-03

Study on clinical application of percutaneous puncture biopsy under CT guided in thoracic diseases
YANG Jun-le,DONG Ji-ping,GAO De-hong,NING Wen-de,YAN Rui,YANG Guo-tang Imaging Center of Xi 'an Central Hospital,Xi 'an,China. Study on clinical application of percutaneous puncture biopsy under CT guided in thoracic diseases[J]. Journal of China Clinic Medical Imaging, 2002, 13(3): 182-183,195
Authors:YANG Jun-le  DONG Ji-ping  GAO De-hong  NING Wen-de  YAN Rui  YANG Guo-tang Imaging Center of Xi 'an Central Hospital  Xi 'an  China
Affiliation:YANG Jun-le,DONG Ji-ping,GAO De-hong,NING Wen-de,YAN Rui,YANG Guo-tang Imaging Center of Xi 'an Central Hospital,Xi 'an710003,China
Abstract:Objective:To study the clinical significance,indication and complications of thoracic disease by percutaneous aspiration biopsy under CT guidance.Methods:We analyzed the data from96adult patients with thoracic disease who under-went fine-needle percutaneous CT guided aspiration biopsy.Results:The biopsy specimens showed cancer in68cases,metas-tastic tumor in three cases,tuberculosis in six cases,mesothelioma in five cases,thymoma in three cases,inflammation in11cases.Conclusion:CT guided lung aspiration biopsy is an easy and safe procedure which can provide a precise diagnosis.A more accurate diagnosis by fine-needle aspiration biopsy of intrathoracic cancer can be obtained if the cytopathologist was pre-sent at site.
Keywords:thoracic diseases  biopsy  needle  tomography  X-ray computed  
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