中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
2期
217-218
,共2页
肺疾病%体层摄影术,X线计算机%活组织检查
肺疾病%體層攝影術,X線計算機%活組織檢查
폐질병%체층섭영술,X선계산궤%활조직검사
Lung diseases%Tomography,X-ray computed%Biopsy
目的 探讨CT引导下经皮肺穿刺活检技术及临床应用价值.方法 在CT定位引导下使用半自动切割活检针取材,进行病理组织学检查.结果 165例病变中,153例穿刺成功,穿刺病理确诊率92.1%,恶性病变假阴性率3.9%,良性病变假阴性率18.9%;并发症发生率33.3%,其中气胸17.0%,肺内出血7.9%,咯血或痰中带血7.3%,皮下血肿1.2%.结论 CT引导下经皮肺穿刺活检技术是肺内疑难病变定性诊断的理想方法,具有重要的临床应用价值.
目的 探討CT引導下經皮肺穿刺活檢技術及臨床應用價值.方法 在CT定位引導下使用半自動切割活檢針取材,進行病理組織學檢查.結果 165例病變中,153例穿刺成功,穿刺病理確診率92.1%,噁性病變假陰性率3.9%,良性病變假陰性率18.9%;併髮癥髮生率33.3%,其中氣胸17.0%,肺內齣血7.9%,咯血或痰中帶血7.3%,皮下血腫1.2%.結論 CT引導下經皮肺穿刺活檢技術是肺內疑難病變定性診斷的理想方法,具有重要的臨床應用價值.
목적 탐토CT인도하경피폐천자활검기술급림상응용개치.방법 재CT정위인도하사용반자동절할활검침취재,진행병리조직학검사.결과 165례병변중,153례천자성공,천자병리학진솔92.1%,악성병변가음성솔3.9%,량성병변가음성솔18.9%;병발증발생솔33.3%,기중기흉17.0%,폐내출혈7.9%,각혈혹담중대혈7.3%,피하혈종1.2%.결론 CT인도하경피폐천자활검기술시폐내의난병변정성진단적이상방법,구유중요적림상응용개치.
Objective To assess the clinical diagnosis value of CT guided transthoracic core needle biopsy in patients with pathological changes.Methods The pathological diagnosis was performed after getting the tissue by the groovy needle punctured the lesion.Results The 165 patients included 153 focal pulmonary diseases and 12 diffuse pulmonary diseases,the defined pathological diagnostic rate was 92.1%,false negative rate was 3.9%,18.9%in malignant and benign pathological changes;and complication presented in 33.3%,pneumothorax,bleeding,hemoptysis and hypodermic haematoma were 17.0%,7.9%,7.3%and 1.2%,respectively.Conclusion The technique of pulmonary percutaneous biopsy under CT guided is a perfect method for qualitative diagnosis of difficult pulmonary pathological changes:it is of great clinical application.
