CT引导下经皮肺活检对不伴咯血肺内肿块样病变的诊断价值  

Diagnosic Value of and Transthroracic Biopsy CT-Guided Transdermic in Lung Pathological Change without Emptysis

作　　者：高雷山[1] 卢建民[1] 张清[2] 谢纯平[1] 王平[1] 黄志文[1] 王晓丹[2] 张在沛[1] 

机构地区：[1]三峡大学仁和医院呼吸内科,湖北宜昌443001 [2]三峡大学校医院,湖北宜昌443000

出　　处：《中国临床医学》2006年第6期910-911,共2页Chinese Journal of Clinical Medicine

摘　　要：目的：探讨CT引导下经皮肺活检对不伴咯血肺部肿块样病变的诊断价值。方法：45例X线及CT检查疑诊为恶性肿瘤的肺部肿块样病变,在CT扫描定位下,用18～20号活检针经皮经胸壁肺穿刺活检取材,行病理学及细胞学诊断。结果：除1例穿刺失败外,其余44例均1次穿刺成功,1次成功率97．8%。恶性病变占51．1%(23/45),感染性疾病占42．2%(19/45),其中．肺结核占28．9%(13/45),经手术后病理及临床随访观察,恶性病变诊断正确率91．7%(11/12)。并发气胸4例(8．9%),咯血3例(6．7%)。结论：肺部肿块样病变除恶性肿瘤外,感染性疾病(包括结核)占较大比例。经皮肺活检的操作简便、安全,对不伴咯血肺部肿块样病变有较高的诊断价值。Objective.To explore the diagnosic value of phymatnid pathological change in the lung without emptysis through CT-guided transdermic and transthroracic biopsy. Methods： 45 cases with phymatoid pathological change in the lung through CT-guided transdermic and transthroracic biopsy with 18G-20G needles were exomined by pathology and cytology, Results： All puncture succeeded except one, with the success rate 97.8%;Fatal pathological changes 51.1 %（23/45）, infectious diseases 42. 2%（19/45）, among them tuberculosis 28.9%（13/45）. 91.7% correct in diagnosis in malignant pathological change, 4 cases of pneumothorax simultaneously （8. 9 % ）; 3 cases of emptysis（6. 7 % ）, Conclusion.Among phymatoid pathological changes in the lung, malignancy has a high rate as well as infectious diseases （including tuberculosis）. Transdermic and transthroracic biopsy is convenient and safe. It is of value in diagnosing phymatoid pathological change without emptysis in the lung.

关 键 词：X线计算机 肺部病变 肺活检 

分 类 号：R446.8[医药卫生—诊断学]