摘要
目的探讨ＣＴ导引下肺内结节性病变经皮穿刺活检的临床应用价值。方法应用Ａｕｃｈｏｒ牌软组织专用手枪式活检器，对４０例肺内结节性病灶患者进行ＣＴ导引下经皮穿刺活检。结果２例因取材组织少致活检失败，３８例穿刺成功，成功率为９５％。病理诊断为：腺癌１４例，鳞癌１０例，未分化癌３例，腺癌转移２例，炎性假瘤４例，结核球３例，坏死组织碎片和变性结构２例。本组假阴性２例，无假阳性。２例术后发生气胸。与术后病理对照，穿刺活检的准确率为９４４％。结论该穿刺技术操作简便、取材量大、定位准确，成功率高，能作出肺内结节性病变的定性诊断。
Purpose To probe into the clinical value of
percutaneous translung biopsy of intrapumonic nodular foci. Methods The pistol style biopsy
appliance (trademark is Auchor) was used for percutaneous translung biopsy, and guided by CT
in 40 patients with intrapumonic nodular foci. Results The biopsy was failed in 2 cases,
because the tissue gained too small, and succeed in 38 patients, so the successful rate was
95%. The pathological diagnosis were as follow:adenocarcinoma 14, squamous carcinoma 10,
undifferentiated carcinoma 3, metastatic adenocarcinoma 2, inflammatory pseudotumor 4,
tubrculoma 3 and necrosis tissue or degeneration 2 cases. There were 2 cases false negative,
however no false positive case. Two patients had pneumatothorax after biopsy. Comparing with
postoperation pathology, the accuracy of percutaneous translung biopsy was 94.4%.Conclusion
The method of biopsy is simple and convenient, larger draw materials, accurate location, high
success rate, and can determined the qualitative diagnosis of the intrapumonic nodular foci. [
出处
《中国医学影像技术》
CSCD
北大核心
1999年第6期464-465,共2页
Chinese Journal of Medical Imaging Technology
