摘要
目的探讨CT引导下经皮肺穿刺活检对肺部肿瘤的诊断价值及影响其准确性的因素。方法对153例肺部病变患者经CT引导下经皮肺穿刺活检取材，所取组织经病理组织学和（或）细胞学检查．分析其准确性。结果153例中经手术随访或临床检查证实恶性肿瘤128例，穿刺病理诊断118例，经皮肺穿刺恶性肿瘤确诊率92．2％（118／128），假阴性10例，假阴性率7．8％（10／128），无假阳性病例。诊断良性病例20例，良性病变确诊率为80．0％（20／25）术后发生气胸28例，发生率为18.3％（28／153），出血22例，发生率14．4％。结论CT引导下经皮肺穿刺活检是一种安全、有效、准确性高、并发症少的诊断方法．对肺部肿瘤的诊断具有较高的价值。
Objective To explore the diagnosis value of CT-guided percutaneous transthoracic needle biopsy in patients with pneumonic diseases and the factors influencing its accuracy was analyzed in all cases. Methods CT-guided percutaneous transthoracic needle was carried out in 153 patients with pneumonic diseases, followed by pathological examination, the accuracy was analyzed in all cases. Results 128 out of 153 cases were proved to be malignant either by surgery or follow up or clinical examinations, among which 118 were confirmed by biopsy. It was verified that the rate of correct diagnosis for malignant tumors was 92.2 % （118/128）, 10 cases were false negative, while false positive was not found. 20 cases were proved to be benign. It was verified that the rate of correct diagnosis for the benign was 80.0 %（20/25）. Penmothorax occurred in 28 cases. The accuracy was 18.3 %（28/153）, Bleeding occurred in 22 cases, the accuracy was 14.4 %（22/153）. Conclusion CT-guided percutaneous needle biopsy in pneumonic diseases is a safe and effective diagnostic means, which has a high diagnostic rate with few complications.
出处
《肿瘤研究与临床》
CAS
2007年第2期87-89,共3页
Cancer Research and Clinic
