中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
11期
28-30
,共3页
CT引导%活检%肺部肿块%病理组织学%病理细胞学
CT引導%活檢%肺部腫塊%病理組織學%病理細胞學
CT인도%활검%폐부종괴%병리조직학%병리세포학
Computed tomography (CT)-guided%Biopsy%Pulmonary mass%Histopathology%Cytomorphology
目的 回顾性分析131例CT引导下肺部肿块穿刺活检诊断的准确性及敏感性,探讨其临床应用价值.方法 回顾性总结分析131例CT引导下肺部肿块穿刺活检及其病理诊断结果,每个病例均同时采用病理组织学检查和病理细胞学检查.诊断结果由手术病理诊断及临床随访证实.同时随访评估气胸及出血等并发症情况.结果 90%的病例获得了足够的免疫组织化学检查样本,100%病例均获得了足够的病理细胞学检查样本.组织学检查的阳性率及诊断符合率分别为87.7%和97.5%,病理细胞学检查的阳性率及诊断符合率分别为91.6%和91.7%,两种方法结合所有病例的总体阳性率及诊断符合率分别为94.6%和96.7%.131例中发生气胸5例,出血10例.结论 CT引导下经皮肺部肿块穿刺活检是一种安全、有效的检查方法,两种方法的结合可以获得更为准确的诊断结果.
目的 迴顧性分析131例CT引導下肺部腫塊穿刺活檢診斷的準確性及敏感性,探討其臨床應用價值.方法 迴顧性總結分析131例CT引導下肺部腫塊穿刺活檢及其病理診斷結果,每箇病例均同時採用病理組織學檢查和病理細胞學檢查.診斷結果由手術病理診斷及臨床隨訪證實.同時隨訪評估氣胸及齣血等併髮癥情況.結果 90%的病例穫得瞭足夠的免疫組織化學檢查樣本,100%病例均穫得瞭足夠的病理細胞學檢查樣本.組織學檢查的暘性率及診斷符閤率分彆為87.7%和97.5%,病理細胞學檢查的暘性率及診斷符閤率分彆為91.6%和91.7%,兩種方法結閤所有病例的總體暘性率及診斷符閤率分彆為94.6%和96.7%.131例中髮生氣胸5例,齣血10例.結論 CT引導下經皮肺部腫塊穿刺活檢是一種安全、有效的檢查方法,兩種方法的結閤可以穫得更為準確的診斷結果.
목적 회고성분석131례CT인도하폐부종괴천자활검진단적준학성급민감성,탐토기림상응용개치.방법 회고성총결분석131례CT인도하폐부종괴천자활검급기병리진단결과,매개병례균동시채용병리조직학검사화병리세포학검사.진단결과유수술병리진단급림상수방증실.동시수방평고기흉급출혈등병발증정황.결과 90%적병례획득료족구적면역조직화학검사양본,100%병례균획득료족구적병리세포학검사양본.조직학검사적양성솔급진단부합솔분별위87.7%화97.5%,병리세포학검사적양성솔급진단부합솔분별위91.6%화91.7%,량충방법결합소유병례적총체양성솔급진단부합솔분별위94.6%화96.7%.131례중발생기흉5례,출혈10례.결론 CT인도하경피폐부종괴천자활검시일충안전、유효적검사방법,량충방법적결합가이획득경위준학적진단결과.
Objective To retrospectively analyze the sensitivity and accuracy of computed tomography (CT)-guided aspiration biopsy of pulmonary mass. Methods One hundred and thirty-one consecutive CT-guided biopsies performed between July 2009 and December 2010 were analyzed. Both cytomorphology and histopathology were performed in each case. The diagnostic accuracy was assessed by a positive histological result from the operative specimen or based on treatment response and clinical follow-up. Each case was reviewed for complications, including pneumothorax and haemorrhagia. Results Sufficient histopathologic samples were obtained in 90% cases, and sufficient cytomorphologic samples were obtained in 100% cases. The sensitivity and overall accuracy for histopathology were 87.7% and 97.5%, respectively. The sensitivity and overall accuracy for cytomorphology were 91.6% and 91.7%, respectively. The sensitivity and overall accuracy in all cases were 94.6% and 96.7%. There were only 5 pneumothorax and 10 haemorrhages. Conclusions CT-guided percutaneous aspiration biopsy is a safe and effective technique for the diagnosis of pulmonary mass, and the combination of cytomorphology and histopathology has higher sensitivity and accuracy than that when only one examination was performed.
