实用医学影像杂志
實用醫學影像雜誌
실용의학영상잡지
JOURNAL OF PRACTICAL MEDICAL IMAGING
2014年
2期
90-91
,共2页
莫科%孟家晓%杨冠英%徐绍斌
莫科%孟傢曉%楊冠英%徐紹斌
막과%맹가효%양관영%서소빈
体层摄影术,X线计算机%胸部疾病%活组织检查,针吸%诊断
體層攝影術,X線計算機%胸部疾病%活組織檢查,針吸%診斷
체층섭영술,X선계산궤%흉부질병%활조직검사,침흡%진단
Tomography,X-ray computed%Thoracic diseases%Biopsy,needle%Diagnosis
目的:探讨CT导向下经皮穿刺活检对胸部结节或肿块病变诊断的临床意义。方法 CT导向下采用18~20 G切吸两用穿刺针对25例胸部占位性病变进行穿刺并活检。结果25例患者穿刺活检病理诊断为恶性肿瘤12例,良性肿瘤4例,结核3例,淋巴结肿大6例;恶性肿瘤中鳞癌6例,腺癌2例,小细胞癌1例,转移瘤3例。总阳性诊断率达100%,其中细胞学诊断阳性率76%,组织学诊断阳性率92%。无一例发生严重并发症及针道转移。结论 CT导向穿刺对胸部结节或肿块的诊断安全有效,值得临床广泛应用。
目的:探討CT導嚮下經皮穿刺活檢對胸部結節或腫塊病變診斷的臨床意義。方法 CT導嚮下採用18~20 G切吸兩用穿刺針對25例胸部佔位性病變進行穿刺併活檢。結果25例患者穿刺活檢病理診斷為噁性腫瘤12例,良性腫瘤4例,結覈3例,淋巴結腫大6例;噁性腫瘤中鱗癌6例,腺癌2例,小細胞癌1例,轉移瘤3例。總暘性診斷率達100%,其中細胞學診斷暘性率76%,組織學診斷暘性率92%。無一例髮生嚴重併髮癥及針道轉移。結論 CT導嚮穿刺對胸部結節或腫塊的診斷安全有效,值得臨床廣汎應用。
목적:탐토CT도향하경피천자활검대흉부결절혹종괴병변진단적림상의의。방법 CT도향하채용18~20 G절흡량용천자침대25례흉부점위성병변진행천자병활검。결과25례환자천자활검병리진단위악성종류12례,량성종류4례,결핵3례,림파결종대6례;악성종류중린암6례,선암2례,소세포암1례,전이류3례。총양성진단솔체100%,기중세포학진단양성솔76%,조직학진단양성솔92%。무일례발생엄중병발증급침도전이。결론 CT도향천자대흉부결절혹종괴적진단안전유효,치득림상엄범응용。
Objective To investigate the diagnostic value of CT-guided percutaneous puncture of thoracic nod-ule or masses in clinical application. Methods Twenty-five cases of thoracic nodule or masses were summarized un-der CT guiding were performed using 18-20 Gauge core-needle and aspiration needle for the diagnosis. Results Of all 25 cases, 12 cases were diagnosed malignant tumor, 4 cases of benign neoplasm, 3 cases of pulmonary tuberculosis and 6 cases of lymphadenectasis. Six cases of pulmonary squamous cell carcinoma, 2 cases of pulmonary adenocarci-noma, 1 cases of pulmonary small-cell lung carcinoma, 3 cases of metastatic tumor. The total positivity was 100%. In those cases, the positivity of cytological diagnosis was 76% and positivity of histological diagnosis was 92%. None of severe complication and metastasis in needle duct occurred. Conclusion CT-guided needle biopsy is safe and reli-able for thoracic nodule or masses which is worth wide application in clinical practice.