摘要
对32例常规检查不能确诊的周围型肺肿块,采用不同导向经皮肺活检。结果25例由病理确诊,7例经冲洗液涂片及测定肿瘤标记物而确诊;肺癌16例,肺结核13例,肺炎3例。肺癌组冲洗液中癌胚抗原(CEA)、糖链抗原153(CA153)、非小细胞肺癌抗原(LTA)水平明显高于炎症组(分别为P<001,P<005,P<001)。表明B超导向经皮肺活检安全、方便、准确,冲洗液中多项指标联检能提高组织细胞学诊断率,弥补纤支镜检查的不足。
patients with peripheral pulmonary swollen mass that can't be ieagnosed in conventional ways were studied by lung biopsy and flushing in different directions Rusult:25 patients were pathologically diagnosed 7 patients were diagnosed by smear of flushing fluid and assay of tumor marker 16 patients with lung cancer 13 patients with pulmonary tuberculosis 3 patients with pneumonia CEA,CA153 and LTA(P<0 01,P<0 05 and P<0 01 respectively)of lung cancer group in flushing fluid were much higher than those in imflammatory group It indicates that percutaneous pneumocentesis by B ultra sound was safe,convenient and accurate Associated checkout of multiple,indexes in flushing fluid can not only improve diagonstic rate of histiocytology,but also compensate deficiencies of fiber bronchoscope
出处
《山东医药》
CAS
北大核心
2000年第2期7-8,共2页
Shandong Medical Journal
关键词
肺肿瘤
诊断
活组织检查
Biopsy Flushing Lung neoplasm Marker
