胸部疾病CT扫描定位下穿刺活检36例分析
[摘要] 目的 探讨胸部疾病CT扫描定位下穿刺活检的临床应用。方法 回顾性分析我院对36例胸部疾病在CT扫描定位下的穿刺活检术。结果 一次性穿刺成功32例,占92%(32/36),两次以上重复穿刺3例,占8%(3/36)。炎性假瘤4例,肺结核3例,纵膈淋巴瘤1例,各种类型肺癌27例。少量气胸4例,占8.3%(4/36),少量肺内出血1例,占2.7%(1/36)。结论 胸部疾病CT扫描定位下穿刺活检是安全可靠的定性诊断方法,在临床上有重要的价值,值得广泛普及推广。
[关键词] 胸部病变; CT定位; 穿刺活检
[中图分类号] R445.1 [文献标识码] A [文章编号] 1673-9701(2010)13-69-02
CT Scan Localization for Chest Disease Biopsy:An Analysis of 36 Cases
WU Yaoming CUI Bike LIU Xiaoming
Hunan Province Yongzhou City People"s Hospital,Yongzhou 425000,China
[Abstract] ObjectiveTo explore the clinical application of CT scan localization for chest disease biopsy. MethodsA retrospective analysis was made of 36 cases of chest disease biopsy by using CT scan in our hospital. ResultsOne-time successful puncture accounted for 92% in 32 cases(32/36)and two or more repeat punctures accounted for 8% in 3 cases(3/36). Four cases of inflammatory pseudotumor,3 cases of pulmonary tuberculosis,1 case of mediastinal lymphoma and 27 cases of various types of lung cancer were found. Four cases showed a small amount of pneumothorax(8.3%,4/36)and 1 case,a small amount of pulmonary hemorrhage(2.7%1/36). ConclusionCT scan localization for chest disease biopsy is a safe and reliable diagnostic method,with great clinical value,worthy of wide adoption.
[Key words]Chest lesions; CT localization; Needle biopsy
胸部疾病在临床上发病率高,及时、正确的治疗依赖于正确的诊断。CT扫描定位下穿刺活检术在这方面有着肯定而独特的作用。现回顾性分析我院2007～2009年36例这方面的病例,以期总结经验,为本技术的进一步推广应用提供借鉴。
1 资料与方法
1.1 一般资料
我院2007～2009年在CT扫描定位...
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