| 摘要: |
| ［摘要］ 目的 评价CT引导下经皮肺细针抽吸活检术在肺内病变中的诊断价值。方法 回顾性分析165例行CT引导下经皮肺细针抽吸活检术的肺内周围性病变资料。结果 经手术、病理及临床随访证实恶性肿瘤114例，良性病变51例。穿刺病理恶性108例，准确率为94.7%，假阴性6例，无假阳性；良性病变41例，准确率为80.4%，穿刺总准确率为90.0%。发生并发症11例，发生率为7.0%，其中气胸4例，少量肺出血2例，肋间神经痛1例。结论 CT引导经皮肺细针抽吸活检术是一种微创、准确度较高、并发症较少的有效检查方法，有助于肺部病变的诊断与鉴别诊断，具有较高的临床价值。 |
| 关键词: CT引导 肺穿刺 肺肿瘤 活检 |
| DOI：10.3969/j.issn.1674-3806.2011.03.14 |
| 分类号:R 563 |
| 基金项目: |
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| Value of CT guided percutaneous lung needle aspiration biopsy in the diagnosis of pulmonary peripheral lesions |
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ZUO Zi-jun, REN Yin-xiang, WANG Hai-bo
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Department of CT，the Second Affiliated Hospital of Luohe Medical College,Henan 462300, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the value of CT guided percutaneous fine needle aspiration biopsy in the diagnosis of pulmonary lesions.Methods A retrospective analysis of the data of pulmonary peripheral lesions from 165 patients received CT-guided percutaneous fine needle aspiration biopsy for pulmonary peripheral lesions were performed.Results Through surgery, pathology and clinical follow-up malignant tumors were confirmed in 114 cases and benign lesions in 51 cases. Through biopsy malignant tumors were confirmed in 108 cases, the accuracy was 94.7%, false negative in 6 cases, no false-positive was found, Benign lesions were confirmed in 41 cases, the accuracy was 80.4%,Total biopsy accuracy rate was 90.0%. Complications occurred in 11 cases, the rate was 7.0%. Pneumothorax was found in 4 cases, a small amount of pulmonary hemorrhage in 2 cases, intercostal neuralgia in 1 case.Conclusion CT guided percutaneous fine needle aspiration biopsy of the lung is an effective method of less damage, high accuracy and less complications in the examination and diagnosis of lung diseases and contributes to differential diagnosis with high clinical value. |
| Key words: CT guidance Lung puncture Lung tumors Biopsy |
