中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2008年
10期
677-679
,共3页
程真顺%杨炯%林宇辉%叶燕青%邹世清%杨亦斌%刘卫敏%吴开松%杜春仙%徐启勇
程真順%楊炯%林宇輝%葉燕青%鄒世清%楊亦斌%劉衛敏%吳開鬆%杜春仙%徐啟勇
정진순%양형%림우휘%협연청%추세청%양역빈%류위민%오개송%두춘선%서계용
活组织检查,针吸%肺疾病%活组织检查
活組織檢查,針吸%肺疾病%活組織檢查
활조직검사,침흡%폐질병%활조직검사
Biopsy,needle%Lung diseases%Biopsy
目的 探讨CT导向下巴德自动穿刺活检枪在经皮肺穿刺活组织检查(活检)术中的临床应用价值.方法 对95例临床及影像学不能确诊者的肺部病变行CT导向下巴德自动穿刺活检枪经皮肺穿刺活检.结果 经巴德自动穿刺活检枪活检术后95例均取得病理学标本,成功率为100%.术后病理诊断为原发性肺癌68例,其中腺癌44例,鳞癌19例,肺泡癌3例,小细胞肺癌2例;慢性炎性病变10例,结核8例,炎性假瘤2例,肺转移性癌1例,真菌感染2例,4例未能明确诊断,确诊率为95.8%.8例发生气胸,6例出现少量咯血.结论 对常规检查方法不能明确肺部病变病理诊断的患者,自动穿刺活检枪经皮肺穿刺活检术可作为一种有效的确诊手段.
目的 探討CT導嚮下巴德自動穿刺活檢鎗在經皮肺穿刺活組織檢查(活檢)術中的臨床應用價值.方法 對95例臨床及影像學不能確診者的肺部病變行CT導嚮下巴德自動穿刺活檢鎗經皮肺穿刺活檢.結果 經巴德自動穿刺活檢鎗活檢術後95例均取得病理學標本,成功率為100%.術後病理診斷為原髮性肺癌68例,其中腺癌44例,鱗癌19例,肺泡癌3例,小細胞肺癌2例;慢性炎性病變10例,結覈8例,炎性假瘤2例,肺轉移性癌1例,真菌感染2例,4例未能明確診斷,確診率為95.8%.8例髮生氣胸,6例齣現少量咯血.結論 對常規檢查方法不能明確肺部病變病理診斷的患者,自動穿刺活檢鎗經皮肺穿刺活檢術可作為一種有效的確診手段.
목적 탐토CT도향하파덕자동천자활검창재경피폐천자활조직검사(활검)술중적림상응용개치.방법 대95례림상급영상학불능학진자적폐부병변행CT도향하파덕자동천자활검창경피폐천자활검.결과 경파덕자동천자활검창활검술후95례균취득병이학표본,성공솔위100%.술후병리진단위원발성폐암68례,기중선암44례,린암19례,폐포암3례,소세포폐암2례;만성염성병변10례,결핵8례,염성가류2례,폐전이성암1례,진균감염2례,4례미능명학진단,학진솔위95.8%.8례발생기흉,6례출현소량각혈.결론 대상규검사방법불능명학폐부병변병리진단적환자,자동천자활검창경피폐천자활검술가작위일충유효적학진수단.
Objective To study clinical application of Bard automated disposable instrument for percutaneous transtheracic biopsy guided by CT in diagnosis of pulmonary lesions. Methods Percutaneons transthoracic biopsy was performed with CT-guided Bard automated disposable instrument for 95 patients with pulmonary lesions but without established diagnosis by clinical and imaging procedures in order to obtain pathological diagnosis. Results Tissue specimens were obtained from all the 95 patients by Bard automated disposable instrument for percutaneous transthoracis biopsy, with a hundred percent of success. After the procedure, 68 of 95 were pathologically diagnosed as lung cancer (including adenocarcinoma in 44,squamous carcinoma in 19, alveolar cell carcinoma in three and small cell carcinoma in two), 10 as chronic inflammatory lesions, eight as tuberculosis, two as inflammatory pseudotumor, one as metastatic cancer, two as fungal infection, and four without an established diagnosis, with an overall diagnosis rate of 95.8%.Pneumothorax occurred in eight and mild haemoptysis in six of 95 patients, respectively, by the procedure.Conclusion Percutaneons transthoracic biopsy with Bard automated disposable instrument is an effective diagnostic procedure for patients with pulmonary lesions but their diagnoses were not established by routine examinations.
