门诊病人 X 线定位坐位肺穿刺活检 1316 例的体验  

Experience of X-ray Lacalized Needle Biopsy of the Lung in A Sitting Position on 1316 Outpatients

作　　者：王宏德[1] 施的美[1] 陈勇 王海彦 

机构地区：[1]江苏省肿瘤防治研究所

出　　处：《实用放射学杂志》1997年第5期278-280,共3页Journal of Practical Radiology

摘　　要：目的：对１３年来（１９８３～１９９５年）１３１６例门诊病人肺穿刺活检的经验总结。方法：病人以Ｘ线定位、坐位、经皮肺穿刺针吸活检。结果：１３１６例肺穿刺１３５０例次，确诊率９５．３％（１２５４／１３１６例次），并发症率４．０７％（５５／１３５０例次），其中气胸３．３３％（４５／１３５０例次），少量咯血０．７４％（１０／１３５０例次），３１．２％的病人避免了不必要的剖胸探查。结论：本法特点：１．方便门诊病人，节省费用，缩短确诊时间。２．坐位穿刺操作简便、灵活、迅速、安全。３．穿刺过程中一般医生和病人不受Ｘ线辐射，除非对小而深的病灶穿刺才透视确保穿中。４．能获取组织和细胞学检查标本。最后笔者对比了本法与其他肺穿刺法的优缺点。Objective:A 13-years(1983-1995) successful experience with needling biopsies of the lung on 1316 consecutive outpatients was concluded in detail.Methods:Patient with X-ray localized percutaneous needle aspiration biopsy of the lung in a sitting position was performed, Results:1350 needle biopsies of the lung was preformed in 1316 patients. The overall diagnostic accuracy was 95.3%(1254/1316) and the rate of complication was 4.07%(55/1350).Pneumothorax was encountered in 3.33%(45/1350) of patients. minor hemoptysis in 0.74%(10/1350).Unnecessary diagnostic thoracotomy was avoid in 31.2%. Conclusion:This method has specialities as follows: 1.It makes outpatient convenient,saving cost, shortening the diagnostic interval; 2.The procedure of needle biopsy of the lung in a sitting position wals easy, flixibie, speed and safety; 3.In general,doctor and patient during of needle biopsy of the lung were not radiated by X-ray, except the needle biopsy of the lung for smaller and deeper lesion requires fluoroscope so as to ensure penetration of the lesion, 4.The specimens for histologic and cytologic examination can be obtained,merits and demerits among this method and other methods of meedle biopsys of the lung were compared.

关 键 词：肺疾病 穿刺 活检 X线定位 

分 类 号：R446.8[医药卫生—诊断学] R563.04[医药卫生—临床医学]