| CT引导自动活检枪经皮穿刺肺小病灶的探讨 |
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| 引用本文： | 周元敏,王于,叶更新,张承惠,陈伟.CT引导自动活检枪经皮穿刺肺小病灶的探讨[J].影像诊断与介入放射学,2008,17(6). |
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| 作者姓名： | 周元敏 王于 叶更新 张承惠 陈伟 |
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| 作者单位： | 1. 广州市十二人民医院放射科,510620
2. 中山大学附属第一医院介入科,广州,510080 |
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| 摘 要： | 目的探讨CT引导下经皮肺穿刺活检肺小结节病变技术及其临床价值。方法44例直径小于3cm的肺内单发小结节病变患者，在CT引导下应用20G自动活检枪取材。所有病例取材均行组织病理学检查。结果44例病例全部穿刺成功，41例肺小结节病变一次取材成功，成功率为93．02％，3例行2次取材。43例病理结果与手术或随访结果一致，1例未能作出明确的组织学诊断，其中恶性肿瘤为39例，恶性肿瘤特异性100％。该组6例出现少量气胸，发生率13．6％，10例肺出血，发生率22．7％，2例有少量咯血。所有病例随访均未发生感染、肿瘤针道种植、转移等并发症。结论cT引导下自动活检枪经皮活检肺小结节（直径小于3cm）诊断准确率高，并发症少，是一种安全有效、诊断准确率高的临床诊断方法。
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| 关 键 词： | CT引导 经皮穿刺 肺小结节 自动活检 |
The clinical application of percutaneous auto-biopsy of small lung nodular under CT-Guided |
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| ZHOU Yuan-min,WANG Yu,YE Geng-xin,ZHANG Chen-hui,CHEN Wei.The clinical application of percutaneous auto-biopsy of small lung nodular under CT-Guided[J].Journal of Diagnostic Imaging & Interventional Radiology,2008,17(6). |
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| Authors: | ZHOU Yuan-min WANG Yu YE Geng-xin ZHANG Chen-hui CHEN Wei |
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| Institution: | ZHOU Yuan-min,WANG Yu,YE Geng-xin,ZHANG Chen-hui,CHEN Wei.Department of Radiology,The Guangzhou No.12 Hospital,Guanzhou 510620,China |
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| Abstract: | Objective To evaluated the clinical value of technology of petcutaneous auto-biopsy of small lung nodular under CT-Guided.Methods 44 cases of small single lung nodular were underwent biopsy with 20G auto-biopsy needle under CT guidance.All cases underwent pathological diagnosis.Results All 44 cases were punctured successfully.41 cases were succeeded in first puncturation. The success ratio was 93.02%.Other 3 cases needed second puncturation.39 of 44 cases'pathological diagnosis were malignant.Only 1 case co... |
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| Keywords: | CT Guidance Percutaneous puncture Small lung nodular Auto-biopsy |
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