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CT引导经皮细针穿刺活检诊断胸腹部占位性病变23例
引用本文:彭勇,王涛,耿小军,黄志兰,毛松寿,杨炎,李雪梅. CT引导经皮细针穿刺活检诊断胸腹部占位性病变23例[J]. 医学争鸣, 1999, 20(7): 633-635
作者姓名:彭勇  王涛  耿小军  黄志兰  毛松寿  杨炎  李雪梅
作者单位:第四军医大学西京医院放射诊断科,陕西,西安,710033
摘    要:应用CT导向经皮穿刺活检胸腹部占位性病灶,明确病变性质,提高像诊断率,为临床治疗治疗提供准确论据。方法:采用GE9800Quick及SomatonARCCT扫描机对23例胸腹部占位性病灶进行扫描定位,用18G-22G的抽吸及组织型活检针对病灶刺取材涂片并做组织切片病理检查。

关 键 词:胸部疾病  腹部疾病  体层摄影术,X线计算机  针吸活组织检查
文章编号:1000-2790(1999)07-0633-35

CT-guided percutaneous fine needle biopsy in the diagnosis of chest and abdominal diseases of 23 cases
PENG Yong,WANG Tao,GENG Xiao-Jun,HUANG Zhi-Lan,MAO Song-Shou,YANG Yan,LI Xue-Mei. CT-guided percutaneous fine needle biopsy in the diagnosis of chest and abdominal diseases of 23 cases[J]. Negative, 1999, 20(7): 633-635
Authors:PENG Yong  WANG Tao  GENG Xiao-Jun  HUANG Zhi-Lan  MAO Song-Shou  YANG Yan  LI Xue-Mei
Abstract:AIM: CT guided fine needle biopsy was used to distinguish the nature of chest and abdominal space occupying lesions, so as to improve the imageing diagnosis and provide basis for clinical therapy. METHODS: Chest and abdominal space occupying lesions of 23 cases were scanned and located by GE 9800 Quick and Somaton ARC CT systems. Then fine needle aspiration biopsy was made in these masses with 18 G~22 G needles and specimens obtained were cut into sections for microscopic examination of pathology. RESULTS: Accurate pathological and cytological diagnosis was made in 19 cases. Two cases failed to be diagnosed due to the bad quality of biopsy samples. Aspiration biopsy failed in another two because of uncooperation of the patients. No side effects and complications were observed. CONCLUSION: CT guided fine needle biopsy is a good choice for the pathological diagnosis of chest and abdominal occupying lesions, which is not only effective and easy to be performed, but also simple and with high accuracy.
Keywords:thoracic diseases  abdominal diseases  tomography  X ray computed  biopsy  needle
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