CT引导下胸膜斑块的穿刺活检  

CT guided needle biopsy of the pleural plaque

作　　者：李光纪[1] 黄学全[2] 蔡萍[2] 徐琼[3] 

机构地区：[1]攀枝花学院附属医院,四川攀枝花617000 [2]第三军医大学西南医院 [3]甘肃省酒泉玉门油田医院

出　　处：《中国冶金工业医学杂志》2012年第4期389-391,F0003,共4页Chinese Medical Journal of Metallurgical industry

摘　　要：目的探讨胸膜活检在胸膜斑块状病变的临床应用。方法选取CT引导下胸膜斑块活检患者100例为A组,常规胸膜斑块活检B组100例,活检后标本送病理检查。结果 A组活检病理检出率为93%(93/100),真阳性率为88%(88/100),良、恶性病变灵敏度分别为91.67%(22/24)、92.96%(66/71),漏诊率分别为8.33%(2/24)、7.04%(5/71)。B组活检病理检出率为68%(68/100),真阳性率为65%(65/100),良、恶性病变灵敏度分别为68.18%(15/22)、70.42%(50/71),漏诊率分别为31.82%(7/22)、29.58%(21/71)。两组比较灵敏度、漏诊率,具有统计学意义(P<0.05)。结论胸膜斑块病变使用CT引导下活检术优于常规胸膜活检术,能提高确诊率和检出率,其方法简单、安全、实用性强,值得推广使用。Objective To discuss the clinical application of pleural biopsy in pleural plaque lesions. Methods 100 cases of CT guided biopsy with pleural plaques were in group A, 100 cases of conventional pleural plaque biopsy were in group B. Specimens were sent for histopathological examination after biopsy. Results In A group,the biopsy pathology detection rate was 93% （93 /100） ,the true positive rate was 88%（88/100）, sensitivity of benign and malignant lesions were 91.67 % （22/24）, 92.96 % （66/71）, the rate of misdiagnosis were 8. 33 ~ （2/24）and 7.04 % （5/71） respectively. In group B patients biopsy pathology detection rate was 68 % （68/100）, the positive rate was 65 ~ （65/100）, sensitivity of benign and malignant lesions were 68. 18%（ 16/22）, 70.42% （ 50/71 ）, the rate of misdiagnosis were 31.82% （ 7/22 ） and 29.58 % （ 21/71 ） respectively. Sensitivity and the rate of misdiagnosis in two groups were compared with statistical significance（P〈0. 05）. Conclusion The diagnosis rate and detection rate of pleural plaque lesions could be more improved using CT guided biopsy compared with conventional pleural biopsy. The method is simple, safe, practical, and should be worthy of promoting.

关 键 词：胸膜 活检 X线计算机 B超 

分 类 号：R816.4[医药卫生—放射医学]