| CT导引下胸内肿物穿刺活检22例临床分析 |
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| 引用本文： | 卢健祥,陈龙华.CT导引下胸内肿物穿刺活检22例临床分析[J].第一军医大学学报,2002,22(3):234-235. |
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| 作者姓名： | 卢健祥 陈龙华 |
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| 作者单位： | [1]东莞市太平人民医院CT中心，广东东莞523900 [2]第一军医大学南方医院放疗科，广东广州510515 |
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| 摘 要： | 目的 探讨CT导引下的胸壁穿刺活检对胸内占位病变的诊断价值。方法 对22例行CT导引下胸壁穿刺活检的病例进行总结分析，该组患者均为CT扫描发现胸部肿物而难以明确诊断者。结果 所有病例均穿刺成功并获组织学和细胞学材料，送检共发现19例为恶性病变；组织学诊断有18例为恶性病变，细胞学诊断有5例为恶性病变。穿刺中和穿刺后，发生气胸2例、痰中带血1例。结论 CT导引下的胸壁穿刺活检是一种有效的诊断手段，自动切割针可以较好地获得组织学标本，细胞学和组织学检查互补可提高检出率。
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| 关 键 词： | 胸腔肿物 穿刺活检 CT导引 胸内占位性病变 |
Analysis of 22 cases of CT-guided puncture biopsy for chest tumors.] |
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| Jian-Xiang Lu,Long-Hua Chen.Analysis of 22 cases of CT-guided puncture biopsy for chest tumors.][J].Journal of First Military Medical University,2002,22(3):234-235. |
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| Authors: | Jian-Xiang Lu Long-Hua Chen |
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| Institution: | CT Diagnostic Centre, Taiping People's Hospital, Dongguan 523900, China. |
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| Abstract: | OBJECTIVE: To evaluate the application of CT-guided puncture biopsy for diagnoses of tumorschest. METHODS: Twenty-two patients with thoracic tumors that were not pathologically identified received CT-guided puncture biopsy for histological and cytological examination. RESULTS: All biopsy procedures were successfully completed and 18 cases were identified as having malignant tumors by histological examinations, while 5 identified by cytological examinations, and definite pathological diagnoses were established in 19 cases. Pneumatothorax occurred in 2 cases and bloody sputum developed in 1 case. CONCLUSION: CT-guided puncture biopsy may provide better biopsy samples and pathological supplemented by cytological examinations improve the accuracy of diagnoses. |
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