CT引导下肺病变穿刺活检的临床应用
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【摘要】 目的 评价CT引导下经皮肺病变穿刺活检的临床应用价值。方法 回顾性分析29例CT引导下肺病变穿刺活检的诊断准确性及并发症，并分析其影响因素。结果 本组29例中，恶性肿瘤21例(72.41%)，其中腺癌12例，鳞癌8例，小细胞未分化癌1例；良性病变6例(20.69%)中，结核球3例，炎性假瘤2例，慢性肺脓肿1例；未能定性2例(6.90%)。并发气胸3例(10.34%)，痰中带血2例(6.89%)。诊断准确率为93.10%。结论 CT导引下经皮肺病变穿刺活检，准确性高、并发症少、费用低，具有较高的临床应用价值。
【关键词】 CT； 活组织检查； 肿瘤； 穿刺
The clinical application of CT-guided percutaneous transthoracic needle biospy of pulmonary neuoplasm XU Cui-hong, WANG Qiang-shan, WANG Shan-liang. Jiaozhou Public Health Bureau in Shandong Province, Jiaozhou 266300, China
【Abstract】 Objective To evaluate the clinical value of CT-guided percutaneous transthoracic needle biospy of pulmonary nodules.Methods 29 cases treated by CT-guided percutaneous transthoracic needle biospy were analyzed retrospectively. Both accuracy and complation were showed, as well as the statistical analysis of effective factor.Results Of the 29 cases, 21 cases were cancers, including adenocarcinoma (n12), squamocellular carcinoma (n8), undifferentiated small cell carcinoma(n1).And, 6 cases were benigh lesions, including tuberculoma(n3), inflammatory pseudotumor(n1) ......
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