增强CT联合CT引导下经皮肺穿刺技术在纵隔占位诊断中的临床研究  

CLINIC STUDY ON THE CT SCAN WITH CONTRAST JOINT CT GUIDED PERCUTANEOUS PULMONARY PUNCTURE TECHNOLOGY IN DIAGNOSIS OF SPACE OCCUPYING DISEASE OF MEDIASTINUM

作　　者：黄艳[1] 王红阳[1] 喻昌利[1] 李球兵[1] 

机构地区：[1]华北煤炭医学院附属医院呼吸科,唐山063000

出　　处：《现代预防医学》2011年第10期1990-1991,共2页Modern Preventive Medicine

摘　　要：[目的]增强CT及经皮肺穿技术在纵隔占位病变诊断中的临床价值研究。[方法]36例后纵隔占位病变的患者入院后均进行常规检查,包括血常规、肝肾功能、出凝血时间和心电图检查,并进行血气分析和肺功能检查。仔细观察X线胸片和CT片,了解病变部位、大小及其与周围组织、器官的关系,之后经过强化CT临床考虑为恶性肿瘤,经皮肺穿针吸活检明确病理诊断。[结果]经皮肺穿针吸活检活检后未出现咯血、气胸、缺氧、窒息,肺炎,肿瘤沿针道皮下种植和气管种植等并发症,上皮来源的恶性肿瘤细胞为主,共计20例,占76.92,间叶来源的共计6例,占23.78。[结论]后纵膈占位病变患者经皮肺穿针吸活检获得诊断,值得临床推广应用。[Objective]To investigate the clinic value of CT scan with percutaneous pulmonary technology in the diagnosis of space occupying disease of mediastinum.[Methods]The ordinary examination including routine blood test,kidney and liver function examination,thrombin time,electrocardiograph examination,blood gas analysis and pulmonary function tests was performed to all the 36 cases with space occupying disease of mediastinum who were clinic diagnosed as malignant tumor and pathological diagnosis.The CT examination and X ray examination was carefully observed,and we understood the disease location,areas and relationship between the tissue around and organs.[Results]20 patients did not show hemoptysis,pneumothorax,deficiency of oxygen,choke,pneumonia and cancer metastasis,and the malignant tumor was sourced from epithelium,and accounted for 76.92%,and 6 cases was sourced from malignant mesenchymoma,and accounted for 23.78%.[Conclusion]Patients with space occupying disease of mediastinum was diagnosed by needle aspiration biopsy obtain diagnosis,which is worthy of clinical application.

关 键 词：增强CT 引导 后纵隔占位 活组织检查 肺穿刺技术 

分 类 号：R445[医药卫生—影像医学与核医学]