CT引导经皮胸腔穿刺活检术33例临床分析

    Chest biopsy by CT-guided percutaneous fine needle punctures:Report of 33 cases

    • 摘要: 目的: 探讨CT引导经皮胸部穿刺活检对胸部占位性病变的诊断价值。方法: 联合应用17G、18G软组织切割式活检针和21G抽吸针、PTC针对胸部占位33例在CT引导下穿刺活检。结果: 33例经皮胸腔穿刺活检患者中,结合临床资料及病理检查证实为原发性肺癌25例,结核1例,胸腺癌1例,转移性癌2例,未能作出明确诊断者4例;诊断准确率为87.9%,术后并发气胸1例,痰中带血3例。结论: CT引导经皮胸腔穿刺活检是一种比较安全、可靠的辅助诊断技术,值得临床推广应用。

       

      Abstract: Objective: To explore the clinical value of chest biopsy by CT-guided percutaneous fine needle punctures in diagnosis of space-occupying lesions of the chest. Methods: Thirty-three cases of the chest lesion were performed biopsy by combined use of 17G and 18G soft-tissue-cutting biopsy needles, 21G fine-needle and PTC needle with the guide of CT. Results: Among the 33 cases, 25 were confirmed by clinical data and pathological examination to suffer from primary malignan tumor, 1 from tuberculosis, 1 from thymus cancer and 2 from metastatic carcinoma. Indefinite diagnosis was made in 4 cases. The diagnosis rate was 87.9%. After operation, pneumothorax occurred in 1 case and traces of blood in sputum were found in 3 cases. Conclusions: Chest biopsy by CT-guided percutaneous fine needle punctures is a safe and practical technique and may be widely used in clinical application.

       

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