| 梁秀珍,陈殿森,宋海乔,聂中.CT导引肺内结节性病灶穿刺活检与分析[J].中国医学影像技术,1999,15(6):464~465 |
| CT导引肺内结节性病灶穿刺活检与分析 |
| Precutaneous Translung Biopsy and Analysis of Intrapumonic Nodular Foci Guided by CT |
| 投稿时间：1999-02-19 |
| DOI： |
| 中文关键词: CT导引 肺穿刺 活检 |
| 英文关键词:Guided by CT Translung Biopsy |
| 基金项目: |
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| 中文摘要: |
| 目的探讨CT导引下肺内结节性病变经皮穿刺活检的临床应用价值。方法应用Auchor牌软组织专用手枪式活检器,对40例肺内结节性病灶患者进行CT导引下经皮穿刺活检。结果2例因取材组织少致活检失败,38例穿刺成功,成功率为95%.病理诊断为：腺癌14例,鳞癌10例,未分化癌3例,腺癌转移2例,炎性假瘤4例,结核球3例,坏死组织碎片和变性结构2例。本组假阴性2例,无假阳性。2例术后发生气胸。与术后病理对照,穿刺活检的准确率为944%.结论该穿刺技术操作简便、取材量大、定位准确,成功率高,能作出肺内结节性病变的定性诊断。 |
| 英文摘要: |
| Purpose To probe into the clinical value of percutaneous translung biopsy of intrapumonic nodular foci. Methods The pistol style biopsy appliance (trademark is Auchor) was used for percutaneous translung biopsy, and guided by CT in 40 patients with intrapumonic nodular foci. Results The biopsy was failed in 2 cases, because the tissue gained too small, and succeed in 38 patients, so the successful rate was 95%. The pathological diagnosis were as follow:adenocarcinoma 14, squamous carcinoma 10, undifferentiated carcinoma 3, metastatic adenocarcinoma 2, inflammatory pseudotumor 4, tubrculoma 3 and necrosis tissue or degeneration 2 cases. There were 2 cases false negative, however no false positive case. Two patients had pneumatothorax after biopsy. Comparing with postoperation pathology, the accuracy of percutaneous translung biopsy was 94.4%.Conclusion The method of biopsy is simple and convenient, larger draw materials, accurate location, high success rate, and can determined the qualitative diagnosis of the intrapumonic nodular foci. |
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