CAJ | 학술논문

目的评估CT引导下经皮肺穿刺活检(TNLB)和支气管镜下经支气管肺活检(TBLB)两种途径对肺部周围性病变诊断的有效性.方法 268例患者肺部CT表现为周围型肺病,其中108例接受CT引导下TNLB,160例接受TBLB.结果 TNLB和TBLB阳性率分别为65.7%和42.5%,对恶性病变的特异性均为100,0%,敏感性分别为72.3%、44.2%.在CT表现为肺周围型实体性软组织病变中,TNLB阳性率高达83.8%(62/74),并与病灶的大小呈正相关;而在接受TBLB的患者中,阳性率仅为31.1%(28/90).在CT表现为肺周围型渗出性或弥漫性结节样病变中,TNLB阳性率仅为26.5%(9/34);而TBLB阳性率较高,为57.1%(40/70),且两种活检手术的阳性率均与病灶是否累及多个肺叶无关.结论 TNLB和TBLB对肺部周围型病变的诊断有重要价值,两种方法有互补性.
목적 평고CT인도하경피폐천자활검(TNLB)화지기관경하경지기관폐활검(TBLB)량충도경대폐부주위성병변진단적유효성.방법 268례환자폐부CT표현위주위형폐병,기중108례접수CT인도하TNLB,160례접수TBLB.결과 TNLB화TBLB양성솔분별위65.7%화42.5%,대악성병변적특이성균위100,0%,민감성분별위72.3%、44.2%.재CT표현위폐주위형실체성연조직병변중,TNLB양성솔고체83.8%(62/74),병여병조적대소정정상관;이재접수TBLB적환자중,양성솔부위31.1%(28/90).재CT표현위폐주위형삼출성혹미만성결절양병변중,TNLB양성솔부위26.5%(9/34);이TBLB양성솔교고,위57.1%(40/70),차량충활검수술적양성솔균여병조시부루급다개폐협무관.결론 TNLB화TBLB대폐부주위형병변적진단유중요개치,량충방법유호보성.
Objective To evaluate the diagnostic value of computed tomography ( CT )-guided transthoracic needle lung biopsy (TNLB) and transbronchial lung biopsy (TBLB) in pulmonary peripheral lesions. Methods CT showed pulmonary peripheral lesions in 268 patients, among which 108 patients received CT-guided TNLB, 160 patients received TBLB. Results The positive rates of TNLB and TBLB were 65.7% and 42.5%, the specificity of malignant lesions was 100.0% ,the sensitivity was 72.3% and 44.2%, respectively. In pulmonary peripheral noumenal lesions based on CT photograph, the positive rates of TNLB and TBLB were 83.8% (62/74) and 31.1% (28/90) ,respectively,the size of lesions was positively correlated with the positive rate of TNLB. In pulmonary peripheral exudative or diffuse nodular lesions based on CT photograph,the positive rates of TNLB and TBLB were 26.5% (9/34) and 57.1% (40/70),respectively,they were independent of the involved range. Conclusions TNLB and TBLB have an important value on the diagnosis of pulmonary peripheral lesions, and they are complementary.