目的:评价CT引导下经皮穿刺活检肺内小结节病灶的诊断价值。方法:在CT导向下穿刺活检肺内直径≤2 cm的孤立性的小结节病灶51例,作细胞学和组织学的检查。结果:本组51例共行58次穿刺活检,24例获得细胞学涂片检查,39例获得组织学检查。诊断准确率82.3%(42/51)。并发症主要为肺出血和气胸,其发生率分别为21.6%(11/51)和13.7%(7/51)。结论:CT导向下穿刺活检肺内小结节病灶的诊断确诊率高,并发症轻。可作为一种常规检查手段。
Citation:
LIN Jie,YANG Hanfeng,LI Chunping,et al.. Clinical Value of CT-guided Transthoracic Core Needle Biopsy in Diagnosis of Solitary Pulmonary Small Nodule Lesions. West China Medical Journal, 2008, 23(1): 57-58. doi:
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Hemy J.Riemy J.Ciraud F,et al.Pulmonary nodules:detection with thick-section spiral CT[J].Radiology,1993,187:513-520.
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- 1. Hemy J.Riemy J.Ciraud F,et al.Pulmonary nodules:detection with thick-section spiral CT[J].Radiology,1993,187:513-520.
- 2. 查人俊,何长清,曾逖闻,等.现代肺癌诊断与治疗(第2版)(M).北京:人民卫生出版社.1999:1-59.
- 3. 叶任高,陆再英.内科学(第6版)[M] .北京:人民卫生出版社,2005:116-118.
- 4. 来东升,李伟成CT引导下经皮肺穿刺活检:18G和20G穿刺针的比较[J].实用放射学杂志.2006,22(2):199-215.
- 5. Westoott JL,Rao N,Colley DP.Transthoracic needle biopsy of small pulmonary nodules[J].Radiology,1997,202:97-104.