肺组织不同活检术在肺部块影诊断中的比较研究  

Comparative study of different biopsy peration of lung on the diagnosis of lung mass shadows

作　　者：王波[1] 费军[1] 陈达伟[1] 泮建虎 王强 

机构地区：[1]解放军117医院呼吸内科

出　　处：《中国实用内科杂志》1999年第5期283-285,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的探讨肺组织不同活检术在肺部块影诊断中的应用价值。方法对１５７例临床上疑为肺肿瘤的住院病人，依据胸片上肺部块影部位及形态分为中央型、周围型和其它型。对经纤维支气管镜（简称纤支镜）直视下肺组织活检（简称肺活检）阴性者，分别选用Ｘ线引导下经皮肺活检和Ｃ...Objective\ To study the practical value of different lung biopsy in diagnosis of lung mass shadows.Method 157 patients with lung mass shadow were divided into three groups,centre,peripheral and the rest group.X-ray or CT-guided lung biopsy was given to the patients who had been pathologically negative by bronchofiberscope examination.The high positive rates in centre group was obtained by bronchofiberscope(67.19%).X-ray guided lung biopsy with rates 10.71% of pneumothorax was more suitable for the peripherial group,especially for the patients with lung mass diameter over 3cm、With pneumothorax rate 15.52%,the positive rate of CT-guided lung biopsy was 94.83% and all the patient's mass diameter were less than 4cm and near heart or large vesseles.Conclusion It is suggested that the patient whose lung mass diameter is over 3cm and near to parietal pleura(<3cm) should be examined by X-ray guided lung biopsy.CT-guided lung biopsy must be given to the patient with lung mass diameter less than 3cm and distal to parietal pleura or near to heart and large vesseles.

关 键 词：肺肿瘤 CT 肺组织 活组织检查 

分 类 号：R734.204[医药卫生—肿瘤]