临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
8期
1432-1434
,共3页
CT引导%经皮肺穿刺切割联合针吸活检术%肺部占位
CT引導%經皮肺穿刺切割聯閤針吸活檢術%肺部佔位
CT인도%경피폐천자절할연합침흡활검술%폐부점위
CT-guide%percutaneous lung biospy combined with needle aspiration%pulmonary space occup-ying lesions
目的:探讨CT引导下经皮肺穿刺活检联合针吸活检术对肺内肿块病变的诊断价值及安全性。方法对临床气管镜检查、痰检,不能确诊的58例肺部占位性病变给予CT引导下经皮肺穿刺活检联合针吸术。结果58例患者中55例获得满意的组织标本,明确了定性诊断,诊断成功率94.83%,恶性病变49例,良性病变6例,不能明确诊断3例。并发症:气胸7例,肺出血12例,胸痛10例。结论 CT引导下经皮肺穿刺活检联合针吸活检术成功率高,并发症轻微,对胸部占位性病变的定性诊断具有重要意义,值得临床普遍推广应用。
目的:探討CT引導下經皮肺穿刺活檢聯閤針吸活檢術對肺內腫塊病變的診斷價值及安全性。方法對臨床氣管鏡檢查、痰檢,不能確診的58例肺部佔位性病變給予CT引導下經皮肺穿刺活檢聯閤針吸術。結果58例患者中55例穫得滿意的組織標本,明確瞭定性診斷,診斷成功率94.83%,噁性病變49例,良性病變6例,不能明確診斷3例。併髮癥:氣胸7例,肺齣血12例,胸痛10例。結論 CT引導下經皮肺穿刺活檢聯閤針吸活檢術成功率高,併髮癥輕微,對胸部佔位性病變的定性診斷具有重要意義,值得臨床普遍推廣應用。
목적:탐토CT인도하경피폐천자활검연합침흡활검술대폐내종괴병변적진단개치급안전성。방법대림상기관경검사、담검,불능학진적58례폐부점위성병변급여CT인도하경피폐천자활검연합침흡술。결과58례환자중55례획득만의적조직표본,명학료정성진단,진단성공솔94.83%,악성병변49례,량성병변6례,불능명학진단3례。병발증:기흉7례,폐출혈12례,흉통10례。결론 CT인도하경피폐천자활검연합침흡활검술성공솔고,병발증경미,대흉부점위성병변적정성진단구유중요의의,치득림상보편추엄응용。
Objective To investigate the diagnostic value and the safety of the application of percutaneous lung biopsy combined with needle aspiration under CT guidance in the treatment of lung lesions. Methods 58 pa-tients were given CT guided percutaneous lung biopsy combined with needle aspiration analysis. Results In 58 pa-tients, 55 cases obtained satisfactory tissue specimens and the qualitative diagnosis. The diagnosis rate was 94. 83%. There were 49 cases of malignant lesions, 6 cases of benign lesions, and 3 cases undetermined. There were 7 cases of pneumothorax, 10 cases of chest pain and 12 cases of hemoptysis. Conclusion CT guided percutaneous lung biopsy combined with needle aspiration has high success rate in the diagnosis of lung space occupying, with less complica-tions.