CAJ | 학술논문

目的探讨透视或CT导引下经皮肺穿刺在菌阴肺结核诊断中的应用价值。方法87例临床诊断疑似菌阴肺结核的患者，CT平扫后增强扫描，在透视或CT引导下行经皮肺部病灶细针穿刺活检，活检组织分别送病理检查及结核分枝杆菌组织培养。结果87例穿刺均取得活检组织，穿刺成功率达100%，病理诊断符合结核64例，穿刺标本组织培养出结核分枝杆菌43例；病理+组织培养诊断肺结核70例：准确性为80.5%，敏感性为95.9%，特异性为100%。结论在透视或CT导引下行经皮肺穿刺活检，获得病理及细菌学结果，是诊断菌阴肺结核的有较手段。
목적탐토투시혹CT도인하경피폐천자재균음폐결핵진단중적응용개치。방법87례림상진단의사균음폐결핵적환자，CT평소후증강소묘，재투시혹CT인도하행경피폐부병조세침천자활검，활검조직분별송병리검사급결핵분지간균조직배양。결과87례천자균취득활검조직，천자성공솔체100%，병리진단부합결핵64례，천자표본조직배양출결핵분지간균43례；병리+조직배양진단폐결핵70례：준학성위80.5%，민감성위95.9%，특이성위100%。결론재투시혹CT도인하행경피폐천자활검，획득병리급세균학결과，시진단균음폐결핵적유교수단。
Objective To assess the value of fluoroscopy or CT-guided percutaneous needle biopsy in culture-negative pulmonary tuberculosis(TB).Methods After contrast-enhanced CT,87 patients with suspected TB underwent fluoroscopy-or CT-guided fine-needle aspiration(FNA)biopsy.Biopsy specimens were sent for pathological analysis and Mycobacterium TB tissue culture.Results FNA was successful on all 87 patients. Mycobacterium TB was confirmed histologically in 64 patients and by tissue culture in 43 patients with combined accuracy of 80.5%,sensitivity of 95.9%,and specificity of 100%in 70 patients.Conclusions Fluoroscopy or CT-guided percutaneous FNA biopsy is effective for culture-negative TB.