CT引导下经皮肺穿刺活检诊断肺隐球菌病的价值  

Value of CT-Guided Percutancous Cutting Needle Biopsy(PCNB) in the Diagnosis of Pulmonary Cryptococcosis

作　　者：李基根[1] 陈龙华[1] 高军[2] 

机构地区：[1]南方医科大学附属南方医院肿瘤放射治疗科,广州510515 [2]中国人民解放军第181中心医院CT室,广西桂林市541002

出　　处：《放射学实践》2005年第12期1047-1049,共3页Radiologic Practice

摘　　要：目的:探讨CT引导下经皮肺穿刺活检(PCNB)诊断肺隐球菌病的价值。方法:回顾性分析1999年8月至2004年10月本院行PCNB诊断肺隐球菌病的7例患者病例资料,所有患者均行痰涂片和胸部X线检查,其中3例行纤支镜检查,6例行CT检查。结果:所有痰涂片、纤支镜检查结果均为阴性;胸片、CT显示肺内肿物和/或实变;7例肺穿刺活检物送病理组织学检查确诊为肺隐球菌病,穿刺术后1例发生气胸。结论:对临床难于确诊的肺隐球菌病,CT引导下PCNB是一种安全有效的诊断方法。Objective：To explore clinical application of CT-guided percutancous cutting needle biopsy （PCNB） in the diagnosis of pulmonary cryptococcosis. Methods：7 patients diagnosed as having pulmonary cryptococcosis by PCNB in our hospital from August 1999 to October 2004 were retrospectively studied. None of them was diagnosed by taking other methods before PCNB , 7 by staining of sputum, 7 chest radiography, 3 fiberoptic bronchoscopy, 6 CT scan. Results： The results of examinations by staining of sputum and fiberoptic bronchoscopy are negative. Pulmonary tumors and/or consolidations were shown in chest radiography and CT. Pulmonary cryptococcosis of 7 cases were diagnosed by histopathologic biopsy, after PCNB, there is pneumothorax in 1 patient. Conclusion： PCNB is a safe and effective means in the diagnosis of pulmonary cryptococcosis for those which can＇t be diagnosed by clinics.

关 键 词：隐球菌病 肺 活组织检查 针吸 体层摄影术 X线计算机 

分 类 号：R814.42[医药卫生—影像医学与核医学] R816.41[医药卫生—放射医学]