摘要
目的 :评价经纤维支气管镜肺活检 (TBPB)结合经皮穿刺针吸活检 (PNAB)对肺周围型结节或肿块 (PPN/M)的诊断价值。方法 :128例PPN/M患者 (Ⅰ组 )先行TBPB ,结果阴性者加做PNAB。另60例PPN/M患者 (Ⅱ组 )先做PNAB ,阴性者再做TBPB。结果 :单做TBPB和PNAB的诊断率分别为70 %和85 % ,TBPB结合PNAB的诊断率达95 %。显示两种方法的诊断率均与病灶的大小和部位有关。结论 :TBPB和PNAB对PPN/M都是有价值的诊断手段 ,两种方法有相互补充作用 。
Objective: To evaluate the diagnostic value of integration of transbronchial pulmonay biopsy (TBPB) with percutaneous needle aspiration biopsy (PNAB) in patients with peripheral pulmonary nodules or masses (PPN/M). Methode: Under fluoroscopic guidance, TBPB was taken in 128 patients with PPN/M (group Ⅰ). Subsequently the patients with negative TBPB underwent PNAB. The PNAB was performed in another 60 patients with PPN/M (group Ⅱ), and the patients with negative PNAB underwent TBPB. Results: The positive rates of TBPB and PNAB were 70% and 85% respectively. However, the positive rate of combination of TBPB and PNAB was 95%. There was a close correlation between the positive expressions of TBPB, PNAB and the size, site of PPN/M. Conclusion: Both TBPB and PNAB are valuable procedures in diagnosis of PPN/M and especially when used simultaneously.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2000年第1期49-51,共3页
Chinese Journal of Clinical Oncology
关键词
纤维支气管
针吸活检
肺结节
肺周围型病变
Transbronchial pulmonary biopsy (TBPB) Percutaneous needle aspiration biopsy (PNAB) Pulmonary nodule(mass)
