多层螺旋CT导引下经皮肺穿刺活检在肺部占位病变中的诊断价值(1)
【摘要】 目的 评价多层螺旋CT导引下经皮肺穿刺活检对肺部占位病变的诊断价值及应用的安全性。方法 在多层螺旋CT导引下分别对50例肺部占位病变穿刺活检,对采集的标本行病理学检查,术后行CT扫描明确是否有气胸、出血等并发症,分析取材准确性及并发症出现率。结果 多层CT穿刺活检组50例均穿刺成功,取得满意组织并确诊48例,其中恶性病变38例,良性病变10例。并发症出现率4%。结论 多层螺旋CT引导下穿刺活检成功率和准确率较高,并发症轻,可作为肺部肿块定性诊断的首选方法,值得临床推广。
【关键词】
肺部肿块;经皮肺活检;体层摄影术,X线计算机;诊断
The diagnostic value of multi-slice spiral CT-guided percutaneous needle biopsy of pulmonary occupying lesions
CHEN Xiang-meng,WANG Guo-jie,CHEN Xiao-jun,et al.The radiology department of the Fifth Affiliated Hospital,Sun Yat-sen University,Guangdong,Zhuhai510140,China
【Abstract】 Objective To evaluate the diagnostic value and application safety of multi-slice Spiral CT percutaneous needle biopsy of pulmonary occupying lesions.Methods 50 cases patients with benign or m alignant lesion in the lungwere performed 16 slice CT-guided percutaneous needle biopsy respectively.The samples were detected by cytological and pathological measures.CT scan was performed after biopsy to observe aeropleura and hemorrhage and to analyze operating time,accuracy of samples,and complication.Results Among 50 cases,48 cases were final diagnosis.38 were m alignant and 10 were benign lesions.Frequency rate of complication was 4%.Conclusion More information was provided by multi-slice Spiral CT.Multi-slice spiral CT-guided percutaneous needle biopsy had higher successful rate and accurate rate,it should be the leading final diagnosis choice of occupying lesions. ......
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【关键词】
肺部肿块;经皮肺活检;体层摄影术,X线计算机;诊断
The diagnostic value of multi-slice spiral CT-guided percutaneous needle biopsy of pulmonary occupying lesions
CHEN Xiang-meng,WANG Guo-jie,CHEN Xiao-jun,et al.The radiology department of the Fifth Affiliated Hospital,Sun Yat-sen University,Guangdong,Zhuhai510140,China
【Abstract】 Objective To evaluate the diagnostic value and application safety of multi-slice Spiral CT percutaneous needle biopsy of pulmonary occupying lesions.Methods 50 cases patients with benign or m alignant lesion in the lungwere performed 16 slice CT-guided percutaneous needle biopsy respectively.The samples were detected by cytological and pathological measures.CT scan was performed after biopsy to observe aeropleura and hemorrhage and to analyze operating time,accuracy of samples,and complication.Results Among 50 cases,48 cases were final diagnosis.38 were m alignant and 10 were benign lesions.Frequency rate of complication was 4%.Conclusion More information was provided by multi-slice Spiral CT.Multi-slice spiral CT-guided percutaneous needle biopsy had higher successful rate and accurate rate,it should be the leading final diagnosis choice of occupying lesions. ......
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