黄玉勇,王绪.CT导向针吸活检术对恶性纵隔肿块的诊断意义[J].中国医学影像技术,2008,24(9):1424~1426
CT导向针吸活检术对恶性纵隔肿块的诊断意义
Computed tomography-guided percutaneous fine needle biopsy of malignant mediastinal masses
投稿时间:2008-03-27  修订日期:2008-07-11
DOI:
中文关键词:  纵隔肿瘤  断层摄影,X线计算机
英文关键词:Mediastinal neoplasms  Tomography, X-ray computed
基金项目:
作者单位E-mail
黄玉勇 海南医学院附属医院放射科,海南 海口 570102  
王绪 徐州医学院附属第二医院影像中心,江苏 徐州 221006 wangxumeihua@126.com 
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中文摘要:
       目的 探讨CT 导向经皮针吸活检对恶性纵隔肿块的诊断意义。方法 随机选择2003年10月—2007年12月作者所在医院疑为纵隔肿瘤(直径≥15 mm) 的患者76例,在CT 扫描监控下,使用国产秦氏活检针进行针吸活检(FNB)与相应的病理细胞学检查。结果 全部病例均经手术(43例)与1 年以上随访(33例)证实。FNB对恶性纵隔肿瘤诊断的敏感性为90.5%(57/63),特异性为84.6%(11/13),准确性为89.5%(68/76)。结论 CT导向经皮FNB是一简便而又可靠的诊断方法,对纵隔肿瘤恶性肿块的诊断有重要的参考价值。
英文摘要:
      Objective To evaluate the diagnostic significance of CT guided percutaneous fine needle biopsy (FNB) of malignant mediastinal masses. Methods Seventy-six patients were randomly chosen from all the patients suspected of mediastinal neoplasm(diameter≥15 mm).Pecutaneous fine needle biopsy was performed under CT monitoring, and then pathologic-cytological examination was made accordingly.Results Forty-three cases were confirmed by operation and 33 cases by more than 1 year follow-up. The sensitivity, specificity and accurate rate of FNB on the diagnosis of mediastinal neoplasm were 90.5%, 84.6% and 89.5% respectively.Conclusion CT guided percutaneous fine needle aspiration biopsy of mediastinal masses is useful, less expensive and effective technique for diagnostics of malignant mediastinal tumor.
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