胸腔肿瘤非抽吸式穿刺活检2100例分析  

Non-aspiration puncture biopsy for suspected thoracic cavity tumor

作　　者：秦德兴[1] 张智慧[1] 程贵余[1] 潘秦镜[1] 林冬梅[1] 刘尚梅[1] 

机构地区：[1]中国医学科学院协和医科大学肿瘤医院,北京100021

出　　处：《中国肿瘤临床与康复》2008年第2期153-154,157,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的总结用秦氏细切割穿刺针,为胸部可疑肿瘤患者行穿刺活检,探讨其效果及并发症。方法在B超或模拟机、CT扫描定位,常规消毒、局麻下穿刺,涂片95%酒精固定或2%福尔马林固定,离心作病理检查。结果胸膜、纵隔、肺部肿块共2100例,阳性确诊率分别为87.7%,82.1%和80.1%,平均阳性诊断率为81.1%。气胸及咯血并发症分别为1.4%和0.9%,并发症主要发生在肺穿刺患者中。胸膜、纵隔没有出现并发症。结论该针的优点是操作简单,不用负压抽吸,操作时间短,取材容易,成功率高,损伤小,成功率、并发症与操作熟练程度相关。Objective To summarize the efficacy and complication of biopsy of suspected thoracic cavity tumors with multiple-hole needles and surface trough-type biopsy needles. Methods Guided by ultrasound, simulated machine, or CT scanning, the point of puncture was selected. Results In 2100 cases, the positive rates of cytology or pathology examination for lesions in pleura, mediastinum and lung tissue were 87.7 %, 82. 1% and 80. 1%, respectively. The mean diagnosis rate in all cases was 81.1%. Complication rates of pneumothorax or hemoptysis were 1.4 % and 0.9%, respectively, in this group. Conclusion The use of such non-aspiration puncture needles is very simple, safe and effective, even for beginners with this technique, the rate of successful diagnoses is fairly high.

关 键 词：肺穿刺 穿刺活检 活检针 

分 类 号：R734[医药卫生—肿瘤]