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CT引导下经皮肺活检的临床应用 被引量:10

The application of CT-guided percutaneous lung biopsy in diagnosis of peripheral lung diseases
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摘要 目的:评价CT引导下经皮肺活检诊断肺周围性病变的价值。方法:回顾性分析北京安贞医院87例患者的临床资料。所有患者均采取CT引导下经皮肺活检检查,其中13例实施手术,进一步做病理组织检查。结果:CT引导下经皮肺穿刺活检诊断肺周围性病变的确诊率高达97.7%。在确诊的85例中肺癌41例,结核18例,非特异性炎症9例,坏死性炎症7例,淋巴瘤2例,非精原细胞性生殖细胞肿瘤1例,前列腺癌肺转移1例,血管内皮瘤1例,间皮瘤1例,结节病1例,肺吸虫病1例,皮肌炎1例,特发性肺纤维化1例。实施手术的13例患者术后病理确诊均为阳性,其中包括经皮肺活检未确诊的1例,其术后病理检查为腺癌。CT引导下经皮肺穿刺活检的患者中有16例出现并发症。结论:CT引导下经皮肺活检操作简便、准确率高、安全性好及并发症少,能为肺周围性病变的诊断和鉴别诊断提供可靠依据。 Objective:To evaluate the value of CT-guided percutaneous lung biopsy in the diagnosis of lung peripheral diseases.Methods:The clinical data of 87 patients with lung peripheral diseases in Beijing Anzhen Hospital were retrospectively reviewed,CT-guided percutaneous lung biopsy was applied in all patients.Besides,thoracic operation was carried out in 13 cases,and further histological assay were carried out.Results:The overall diagnostic accuracy was 97.7%.The diagnosis was clarified in 85 patients,including 41 cases of lung cancer,18 cases of tuberculosis,9 cases of nonspecific inflammation,7 cases of necroinflammatory,2 cases of lymphoma,1 case of non-seminoma germ cell tumors,1 case of lung metastasis of prostate cancer,1 case of hemangioendothelioma,1 case of mesothelioma,1 case of sarcoidosis,1 case of paragonimiasis,1 case of dermatomyositis,and 1 case of idiopathic pulmonary fibrosis,respectively.1 case with negative needle biopsy was considered false-negative,which was diagnosed as an adenocarcinoma with surgical resection.For the other 12 patients,the same histologic characteristics were found with surgical confirmation and needle biopsy.Condusion:occurred in 16 cases of all patients after the application of lung biopsy.Conclusion:CT-guided percutaneous lung biopsy has the advantage of easy operation,high accuracy and security with fewer complications in diagnosis and differential diagnosis of peripheral lung disease.
出处 《心肺血管病杂志》 CAS 2014年第2期245-247,共3页 Journal of Cardiovascular and Pulmonary Diseases
关键词 体层摄影术 肺活检 肺疾病 X线计算机 周围性 Tomography Lung biopsy Lung disease X-ray computed Peripheral
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