CAJ | 학술논문

目的评价经皮切割肺活检术对弥漫性肺疾病的诊断价值及安全性.方法采用自动弹簧式活检枪(14及16 G)对29例弥漫性肺疾病患者在CT引导下行经皮切割肺活榆,所获组织送病理组织学及免疫组化检查.并对取材成功率、诊断阳件率以及并发症等进行分析.结果 29例患者均获得足够行病理检查的肺组织标本,取材成功率达到100%.有25例获得确诊,诊断阳性率达82.8%.并发症主要为气胸以及肺出血,大多数不严重,且经相应治疗后均在1周内消失.结论对于弥漫性肺疾病,CT引导下经皮切割肺活检术无沦在手术操作、取材成功率以及诊断阳性率均优于经支气管肺活检(TBLB).与开胸肺活检(OLB)和电视引导下胸腔镜肺活检(VATS)相比,并发症少且轻微,患者接受度高.该技术值得推广.
목적 평개경피절할폐활검술대미만성폐질병적진단개치급안전성.방법 채용자동탄황식활검창(14급16 G)대29례미만성폐질병환자재CT인도하행경피절할폐활유,소획조직송병리조직학급면역조화검사.병대취재성공솔、진단양건솔이급병발증등진행분석.결과 29례환자균획득족구행병리검사적폐조직표본,취재성공솔체도100%.유25례획득학진,진단양성솔체82.8%.병발증주요위기흉이급폐출혈,대다수불엄중,차경상응치료후균재1주내소실.결론 대우미만성폐질병,CT인도하경피절할폐활검술무륜재수술조작、취재성공솔이급진단양성솔균우우경지기관폐활검(TBLB).여개흉폐활검(OLB)화전시인도하흉강경폐활검(VATS)상비,병발증소차경미,환자접수도고.해기술치득추엄.
Objective To evaluate the clinical application and safety of CT-guided transthoracic cutting needle lung biopsy in diagnosing diffuse lung diseases. Methods By using automatic biopsy gun (14 & 16 gauge), CT-guided transthoracic cutting needle lung biopsy was performed in 29 cases with diffuse lung diseases. The samples obtained were sent for pathological and immunohistochemical examination. The sampling successful rate, the diagnostic accuracy and the occurrence of complications were analyzed. Results Technical success rate was 100%, and large size of sample enough for pathological and immunohistochemical examination was obtained in all 29 cases. Definite pathological diagnosis could be made in 25 cases, with the positive diagnostic rate of 82.8%. The main complications included pneumothorax and pulmonary hemorrhage. The symptoms in most cases were not severe and disappeared within one week after the treatment. Conclusion For the diagnosis of diffuse lung diseases, CT-guided transthoracic cutting needle lung biopsy is a safe, easy, effective and reliable method with high successful rate, high diagnostic value and fewer complications, in these respects this technique is superior to transbronchial lung biopsy, open lung biopsy and video-assisted thoracoscopic lung biopsy. Therefore, this technique should be popularized in clinical practice.