摘要
目的 探讨模拟机下细针经皮肺穿刺对肺部周围型病变诊断的价值。方法 对5 3例肺部周围型占位性病变患者在模拟机下应用细针穿刺取材涂片,行细胞学检查。结果 5 3例患者均穿刺成功,获得细胞学资料,总阳性率为90 .5 % (48/ 5 3)。其中4 4例患者涂片找到肿瘤细胞,非癌诊断者4例。出现并发症7例(13.2 % ) ,其中气胸4例(7.5 % ) ,咯血3例(5 .7% ) ,血量少(<5 0 ml) ,常规处理后好转。结论 模拟定位机下细针经皮肺穿刺是一种快速、简便、安全和实用的诊断技术,且并发症少,它减少了开胸探查术,可在有条件的单位开展。
Objective To explore the diagnostic value of simulator guided transthoracic thin-needle pulmonary paracentesis for peripheral lesions of the lung.Methods 53 patients with peripheral lesions of the lung who received transthoracic thin-needle pulmonary paracentesis under simulator guided and the cytologic samples were examined.Results All the cytologic samples were successfully obtained, and the diagnostic accuracy rate of the cytology examined lesions was 90.5%(48/53); of them,44 cases were comfirmed to be malignant, and 4 cases to be non-malignant. Complications occurred in 7 cases(13.2%) including 4 cases(7.5%) of pneumothorax and 3 cases(5.7%) of hemoptysis,however, they all became better after ordinary treatment.Conclusions Transthoracic thin-needle pulmonary paracentesis under simulator guided is safe, simple and quick diagnostic technique. The exploratory thoracotomy may be less. It may be used in hospital if conditions permit.
出处
《东南国防医药》
2005年第2期99-100,共2页
Military Medical Journal of Southeast China
