摘要
对27例经临床检查未能获得确诊的纵隔疾病患者,行经皮穿刺针吸活检,确诊率为85.2%(23/27)。其中恶性疾病和良性疾病的确诊率分别为86.7%(13/15)和83.3%(10/12),无穿刺并发症发生。根据纵隔病变的部位、大小,准确测定穿刺点和穿刺深度,选择适当的穿刺外,熟练掌握穿刺技术,可提高确诊率。认为经皮穿刺针吸活检具有创伤小,操作简便、安全、确诊率高的优点,可为制定纵隔疾病的治疗方案提供科学的依据。
From Aug. 1984 to Oct. 1996, percutaneous aspiration was peiformed in 27 cases of mediastinal diseases which had not achieved confirmed diagnsis before by clinical esxaminations. The rate of confirmed diagnosis was 85 .2 % (23/27), in which the rate of malignant diseases was 86.7% (13/ 15) and thd rate of benigndiseases was 83. 3 % (10/12). There was no complication caused by the aspirations. The rae of confirmed diagnosis was raised through exact determination of the aspiraion points and deepness according to the regions and sizes of the mediastinal masses, choosing proper aspiration needle and skillful mastering aspiration technique. It was suggested the percutaneous aspiration biopsy had advantages of milder wound, simpler manipulation, safety and higher rate of confirmed diagnsis. It can provide scientific basis for formulating the plans of the media stinal diseases.
出处
《汕头大学医学院学报》
1997年第3期33-34,36,共2页
Journal of Shantou University Medical College
关键词
纵隔疾病
诊断
穿刺活检
Mediastinal disease Diagnosis Aspiration biopsy