CT引导下经皮肺穿刺活检对肺周围小结节病变的诊断价值  

Clinical-Value of CT guided transthoraci core needle biopsy in diagnosis of puhnonay peniphera small nodule lessions

作　　者：李芝晃　[1] 周春生　[2] 朱合[3] 杨娟[1] 刘新玲[1] 

机构地区：[1]中国人民解放军535医院呼吸科,湖南怀化418008 [2]中国人民解放军535医院放射科,湖南怀化418008 [3]中国人民解放军535医院病理科,湖南怀化418008

出　　处：《怀化医专学报》2006年第2期30-31,共2页

摘　　要：目的 评价CT引导下经皮肺穿刺活检对肺周围小结节病变的临床诊断价值。方法 将CT检查发现的59例肺周围小结节痛变患者行cT引导经皮肺穿刺活检，其中49例作纤支镜检结合痰细胞检查。结果 经皮肺穿刺活检恶性病变的阳性预测值为100％（31／31），良性病变的阳性预测值为84．0％（21／25）：检查阳性率明显高于纤支镜检结合痰细胞学检查，差异非常显著（P〈0．01）；取材满意率94．9％。结论 CT引导下经皮肺穿刺活检对肺周围小结节病变的诊断准确性较高，并发症轻。Objective To evaluate the clincal value of C T guided transthomcic core needle biopsy in diagnosis of pulmonary periphera small nodule lessions. Methods CT guided tramsthoracic core needle biopsy in 59 cases of pulmonary perphera small nodule lessions, meanwhile fiberoptic bronchoscope bond sptum cytology were checked in 49 cases. Results As a result of CT guided transthoracic core needle biopsy the positive value of the malignant pathological changes was 100% （31/31）, the negative vdue of the positive pathological changes was 84.0% （21/25） ; there was significant difference in the positive rate between TNB and FOB bond sputum cytology （P 〈 0.01） .the satisfactian rate was 94.9% ~ Conclusion CT guided transthoracic core needle biopsy is higher in accuracy of the diagnosis of pulmonary periphera small nodule lessions, the comlications are lower.

关 键 词：体层摄影 肺 穿刺活检 小结节 

分 类 号：R563[医药卫生—呼吸系统]