CT引导经皮穿刺活检技术在胸部病变的临床应用价值  

Application value of percutaneous puncture biopsy technique under CT guide in clinical pathological changes of breast

作　　者：邹红梅[1] 徐晟伟[2] 邓凯 

机构地区：[1]青岛市第三人民医院放射科,山东青岛266041 [2]青岛市第三人民医院ICU,山东青岛266041 [3]青岛市胸科医院放射科,山东青岛266000

出　　处：《中国医学装备》2016年第7期67-70,共4页China Medical Equipment

摘　　要：目的:评价CT引导经皮穿刺活检术(TNB)对胸部病变的诊断价值。方法:在CT引导下对46例胸部肿块或结节,包括6例胸膜病变行TNB,采用Precisa 18 G同轴套管半自动枪进行穿刺取病理。结果:46例患者中44例取得明确病理结果,准确率为95.6%,其中鳞癌9例,腺癌24例,小细胞癌3例,转移瘤1例,结核1例,炎症5例,正常胸膜反折1例。未能获得明确诊断2例。结论:CT引导TNB诊断创伤小,准确性高,具有较高的临床应用价值。Objective： To evaluate the diagnosis value of percutaneous puncture biopsy technique under CT guiding in clinical pathological changes of breast. Methods：46 patients with breast lumps or nodules, including six cases of pleural disease, were carried out percutaneous puncture biopsy under CT guide, where a coaxial Angiotech 17G trocar together with BiopincelSG were used in the puncture process. Results： 44 cases of pathological findings were acquired and the diagnosis ratio was 93.4%, including 9 cases of squamous cell carcinoma, 24 cases of adenocarcinoma, 3 cases of small cell carcinoma, 1 case of metastatic tumor, 1 case of tuberculosis cases, 5 cases of inflammation and 1 case of normal reflexed pleura. 2 cases have no clear diagnosis. Conclusion： The percutaneous lung biopsy technique under CT guide has the merits of less diagnosis trauma, high diagnosis accuracy and high clinical application value.

关 键 词：体层摄影术 螺旋计算机 胸部病变 活组织检查 CT引导经皮穿刺 

分 类 号：R814.42[医药卫生—影像医学与核医学]