CT引导下经皮肺穿刺活检的临床应用

梅同华; 盛伟利; 李长毅

doi:10.13406/j.cnki.cyxb.2005.04.038

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CT引导下经皮肺穿刺活检的临床应用

更新时间：2024-01-17

- CT引导下经皮肺穿刺活检的临床应用
- Clinical application of CT-guided fine-needle percutaneous biopsy to the diagnosis of lung lesions
- 重庆医科大学学报 2005年第4期页码：615-617
- 作者机构：
  
  1. 重庆医科大学附属第二医院肺科
  2. 重庆医科大学附属第二医院肺科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.04.038
  中图分类号： R814.42
- 纸质出版日期：2005，
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[1]梅同华,盛伟利,李长毅.CT引导下经皮肺穿刺活检的临床应用[J].重庆医科大学学报,2005(04):615-617.

MEI Tonghua, et al. Clinical application of CT-guided fine-needle percutaneous biopsy to the diagnosis of lung lesions[J]. Journal of Chongqing Medical University, 2005,(4):615-617.
[1]梅同华,盛伟利,李长毅.CT引导下经皮肺穿刺活检的临床应用[J].重庆医科大学学报,2005(04):615-617. DOI： 10.13406/j.cnki.cyxb.2005.04.038.

MEI Tonghua, et al. Clinical application of CT-guided fine-needle percutaneous biopsy to the diagnosis of lung lesions[J]. Journal of Chongqing Medical University, 2005,(4):615-617. DOI： 10.13406/j.cnki.cyxb.2005.04.038.

摘要

目的:对CT引导下经皮肺穿刺术的临床应用进行评估。方法:CT引导定位下用9

2号腰穿针和Bard穿刺枪对120例患者进行穿刺活检。结果:120例肺穿刺患者中有84例肺癌（70%）经组织或（和）细胞学检查得到诊断

其中细胞学检查阳性者61例（72.6%）

组织学检查阳性者68例（80.9%）。穿刺敏感性为93.3%

特异性为100%

诊断准确性为97.5%。并发症8例（6.7%）

其中气胸5例

痰血3例。结论:CT引导下经皮肺穿刺准确性高

并发症少

安全可靠

可为临床提供诊断依据

值得推广。

Abstract

Objective:To evaluate the value of CT-guided fine-needle percutaneous biopsy in diagnosing patients with the lung lesions.Methods:Aspiration biopsy was performed in 120 patients with 7#～9# puncture needle and Bard biopsy needle guided and located by CT.Results:Cytological and histological materials were available in 84 (70%)cases for successful diagnosis of lung cancer.Sensitivity of cytological examination amounted to 72.6%(61/84) and that of histological examination 80.9%(68/84);sensitivity of biopsy were 93.3%

and specificity of biopsy were 100%.The diagnosis rate was 97.5%.Complications occurred in 8 cases(6.7%)

including 5 cases of pneumothorax and 3 cases of hemoptysis.Conclusion:CT-guided fine-needle percutaneous biopsy is a successful

efficient and safe diagnotic method with accuracy and few complications

which can provide evidence for clinical diagnosis and should be recommended for wider use.

关键词

肺肿瘤活组织检查针吸CT定位引导X线计算机

Keywords

Lung carcinomaBiopsy examinationNeedle biopsyCT-guided percutaneousX-ray computed

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