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CT导引经皮肺穿刺活检对肺部肿块的诊断价值
引用本文:李军,韦树华,赵家年,蒋会东.CT导引经皮肺穿刺活检对肺部肿块的诊断价值[J].安徽卫生职业技术学院学报,2005,4(5):43-44.
作者姓名:李军  韦树华  赵家年  蒋会东
作者单位:滁州市第一人民医院CT、MIR室,安徽,239000
摘    要:目的:总结CT导引经皮肺穿刺术的准确性、并发症及应用价值.方法:采用国产9号腰穿针及日本QUICKCUT18G穿刺针对32例肺内结节或肿块进行穿刺,所有病例均进行细胞学和组织学检查.结果:32例穿刺成功率占100%(32/32);其中恶性肿瘤24例,穿刺确诊20例,占83.3%(20/24);结核球2例,占6.2%(2/32);肺脓疡3例,占9.3%(3/32);共有2例发生气胸占6.2%(2/32).结论:CT导引下肺穿刺活检准确性高,并发症少,特别对肺周围性小结节灶的诊断价值较大.

关 键 词:CT导引  活组织检查  肺穿刺  导引  经皮肺穿刺活检  肺部肿块  诊断价值  pulmonary  nodules  biopsy  percutaneous  value  小结节  周围性  气胸  发生  肺脓疡  结核球  恶性肿瘤  穿刺成功率  结果  检查  组织学  细胞学
文章编号:1671-8054(2005)05-0043-02
修稿时间:2005年5月12日

Diagnosis value of CT-guided percutaneous trasthoracic needle biopsy of the pulmonary nodules
Institution:Department of CT and MR,Chuzhou First People's Hospital,Anhui 39000LI Jun,WEI Shu-hua,ZHAO Jia-nian,et al
Abstract:Objective To evaluate the diagnostic accuracy ,complicalions and application of CT-guided percutaneous transthoracic needle biopsy of pulmonary nodules. Methods To adopt domestic lumbar puncture needle 9 and Japan QUCKCUT 18G punctre needle on 32 patients with pulmonary nodules percytaneous,and cytologic and histologic studies were made. Results Among 32 cases puncture success rate 100%(32/32), 24 were proved to be cancers, 20 cases were confined by biopsy 83.3%(20/24), 2 cases tuberculoma 6.2%(2/32), 3 cases lung abscess 9.3%(3/32), 2 cases occurrde pueumothorax 6.2%(2/32). Conclusion CT-guided percutaneous translhoracic needle biopsy is very helpful in diagnosing pulmonary nodule samller
Keywords:CT-guided  biopsy  puncture needle
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