胸部结节或肿块的CT导向穿刺活检的临床应用  

CT-guided needle biopsy and interventional treatment of thoracic nodule or masses in clinical application

作　　者：莫科 孟家晓 杨冠英[3] 徐绍斌 

机构地区：[1]广东省佛山市南海区第四人民医院放射科,512341 [2]广东省佛山市第四人民医院影像科 [3]广东省佛山市第一人民医院放射科

出　　处：《实用医学影像杂志》2014年第2期90-91,共2页Journal of Practical Medical Imaging

摘　　要：目的：探讨CT导向下经皮穿刺活检对胸部结节或肿块病变诊断的临床意义。方法 CT导向下采用18~20 G切吸两用穿刺针对25例胸部占位性病变进行穿刺并活检。结果25例患者穿刺活检病理诊断为恶性肿瘤12例，良性肿瘤4例，结核3例，淋巴结肿大6例；恶性肿瘤中鳞癌6例，腺癌2例，小细胞癌1例，转移瘤3例。总阳性诊断率达100%，其中细胞学诊断阳性率76%，组织学诊断阳性率92%。无一例发生严重并发症及针道转移。结论 CT导向穿刺对胸部结节或肿块的诊断安全有效，值得临床广泛应用。Objective To investigate the diagnostic value of CT-guided percutaneous puncture of thoracic nod-ule or masses in clinical application. Methods Twenty-five cases of thoracic nodule or masses were summarized un-der CT guiding were performed using 18-20 Gauge core-needle and aspiration needle for the diagnosis. Results Of all 25 cases, 12 cases were diagnosed malignant tumor, 4 cases of benign neoplasm, 3 cases of pulmonary tuberculosis and 6 cases of lymphadenectasis. Six cases of pulmonary squamous cell carcinoma, 2 cases of pulmonary adenocarci-noma, 1 cases of pulmonary small-cell lung carcinoma, 3 cases of metastatic tumor. The total positivity was 100%. In those cases, the positivity of cytological diagnosis was 76% and positivity of histological diagnosis was 92%. None of severe complication and metastasis in needle duct occurred. Conclusion CT-guided needle biopsy is safe and reli-able for thoracic nodule or masses which is worth wide application in clinical practice.

关 键 词：体层摄影术 X线计算机 胸部疾病 活组织检查 针吸 诊断 

分 类 号：R816.4[医药卫生—放射医学] R561[医药卫生—临床医学]