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CT引导下经皮肺穿刺活检在诊断不明肺部肿块中的应用

Application of CT guided percutaneous lung biopsy in the diagnosis of unexplained pulmonary mass
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摘要 目的:探讨CT引导下经皮肺穿刺活检在诊断不明肺部肿块的临床应用价值。方法:CT引导下,经皮肺穿刺活检术取得组织标本,进行组织病理学诊断,分析该方法诊断肺部肿块的准确性及并发症的发生率。结果:126例患者中123例(97.6%)获得活体组织标本,病理组织学明确诊断为恶性病变111例(阳性率90.2%);3例未能确诊;18例(14.3%)出现并发症,其中3例较为严重并需要处理。结论:CT引导下经皮肺穿刺活检是一种有效、微创和较为安全的检查方法。 Objective: To explore the clinical application value of CT guided percutaneous lung biopsy in the diagnosis of unexplained pulmonary mass. Methods: To obtain tissue specimens by CT guided percutaneous lung puncture biopsy,make histopathological diagnosis and analyze accuracy of the method in the diagnosis of pulmonary mass and complication rate. Results: 123 biopsy specimens were obtained from 126 patients (97. 6%), 111 cases were diagnosed as malignant lesions (positive rate 90.2%) by histopathological diagnosis; 3 cases failed to confirm the diagnosis; 18 cases (14.3%) had complications, including 3 cases which were serious and needed treatment. Conclusion: CT guided percutaneous lung biopsy is an effective, minimally invasive and safer inspection method.
出处 《华夏医学》 CAS 2012年第3期332-334,共3页 Acta Medicinae Sinica
关键词 CT引导 经皮肺穿刺 活检 肺部肿块 CT guide percutaneous lung puncture biopsy pulmonary mass
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