| CT引导下经皮肺穿刺活检诊断肺外周病灶153例分析 |
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| 引用本文： | 曾茄,石平,马兵,赵世财,熊小敏,吴鹏. CT引导下经皮肺穿刺活检诊断肺外周病灶153例分析[J]. 实用医院临床杂志, 2011, 8(3): 83-85 |
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| 作者姓名： | 曾茄 石平 马兵 赵世财 熊小敏 吴鹏 |
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| 作者单位： | 四川省广元市中心医院呼吸科,四川,广元,628000 |
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| 摘 要： | 目的评价CT引导下经皮肺穿刺活检的临床应用价值。方法采用自动活检切割针(18G)在CT引导下对153例患者肺部病灶行经皮肺穿刺活检术。结果 153例均穿刺成功,146例取得满意标本,7例为坏死组织未能做出诊断;穿刺活检的129例恶性肿瘤患者中有48行手术治疗,其术后病检与穿刺活检结果一致;7例炎症;5例结核;4例真菌;有36例出现了轻重不同的并发症,气胸32例(20.9%),3例(1.9%)出现少量咯血或痰中带血,1例发生胸腔少量出血,经相应治疗后病情好转出院。结论 CT引导下经皮肺穿刺活检诊断肺外周病灶并发症少、安全有效,具有较高的临床应用价值。
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| 关 键 词： | CT 穿刺术 肺 活组织检查 诊断 |
CT-guided percutaneous lung biopsy in the diagnosis of peripheral lung lesions:Analysis of 153 cases |
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| ZENG Jia,SHI Ping,MA Bing,ZHAO Shi-cai,XIONG Xiao-min,WU Peng. CT-guided percutaneous lung biopsy in the diagnosis of peripheral lung lesions:Analysis of 153 cases[J]. Practical Journal of Clinical Medicine, 2011, 8(3): 83-85 |
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| Authors: | ZENG Jia SHI Ping MA Bing ZHAO Shi-cai XIONG Xiao-min WU Peng |
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| Affiliation: | ZENG Jia,SHI Ping,MA Bing,ZHAO Shi-cai,XIONG Xiao-min,WU Peng(Department of Respiratory,Central Hospital of Guangyuan City,Guangyuan 628000,China) |
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| Abstract: | Objective To evaluate the clinical value of CT guided percutaneous lung biopsy.Methods Lung lesions of 153 patients underwent percutaneous lung biopsy by automatic cutting needle biopsy(18G).Results A total of 153 patients were punctured successfully,including 129 cases of cancer(48 cases had consistent pathologic and biopsy results),7 cases of inflammation,7 cases of necrotic tissue,5 cases of tuberculosis and 4 cases of fungus.Thirty-six patients had compilactions,including 32 cases of pneumothorax(20.9%)... |
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| Keywords: | CT |
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