摘要
目的 肺、纵隔、胸膜病变在CT引导下的细胞学检查 ,为临床提供该部病变的定性诊断和分类。方法 采用CT对 4 1例患者肺、纵隔及胸膜病变扫描定位 ,细针 (7～ 9号腰穿针 )穿刺取材涂片 ,H -E和瑞 -姬双重染色 ,光镜观察。结果 4 1例中除 1例配合不佳而致穿刺失败 ,4 0例取材满意。而细针穿刺 ,患者易接受 ,且可减少或避免出血、气胸等并发症。标本细胞学检查与病理学诊断的符合率为 91.1% (30 /34)。结论 肺、纵隔及胸膜病变的CT引导下细针吸取细胞学检查是一种有效、快速。
Objective To evaluate the CT-guided biopsy cytological examination of the lesions in the lung, mediastinum and pleura for classification and diagnosis. Methods CT-guided fine-needle (7～9 gauge) aspiration biopsy was performed in 41 patients with lung, mediastinial and pleural lesions. The specimens stained with hematoxylin-eosin and by Wright-Giemsa's method were observed under optical microscope. Results Only one needle biopsy failed in the 41 cases due to lack of the patient's cooperation. The procedure was well accepted by patients, its incidence of complications was low. The rate of diagnostic agreement was 91.1% (30/34) between cytological examination and surgical pathology. Conclusion CT-guided fine-needle aspiration cytology is an effective, reliable and accurate method for diagnosing lesions in the chest.
出处
《徐州医学院学报》
CAS
2002年第1期54-56,共3页
Acta Academiae Medicinae Xuzhou
关键词
胸膜病变
CT引导
细针吸取细胞学
肺疾病
纵隔病变
lung, mediastinum and pleura diseases
fine needle aspiration cytology, CT-guided
