CT引导经皮穿刺活检在肺部肿块诊断中的诊断价值与安全性.pdfVIP

老年医学与保健2008年第14卷第3期Geriatr Health Care，2008，Vo1．14．No．3 CT引导经皮穿刺活检在肺部肿块 诊断中的诊断价值与安全性 李向阳 陈惟隽 王拮一 陈严严 【摘要】目的 探讨应用Bard活检针存CT引导下肺穿刺活检的诊断准确性和安全性 方法 对痰细胞学阴性，纤 支镜不能确诊的36例肺部外周性病变患者存肺部CT扫描定位下，应用Bard活榆针经皮肺穿刺活榆取材，行病理学 诊断。结果 36例病人穿刺36次，阳性33例 (91、6％)，阴性3例 (8．4％)。总检出率91、6％，其中恶性病变率为 86．1％，术后少量咯血2例。结论 应用Bard活榆针在CT引导下经皮肺活榆是一种安全、有效的检查手段，对肺周 围性病变具有较高的诊断价值。 【关键词】体层摄影术，X线计算机；活组织检查，针口殷；肺肿瘤 【中图分类号】R734．2【文献标识码】A 【文章编号】1008—8296(2008)一03—0152—02 Therapeutic value and safety of CT-guided transthoracic needle biopsy for diagnosis of suspected pulmonary nod— ulesHuadong Hospital Affiliated to Fudan Universi ，LI Xiang-yang，CHEN Wei-jun，WANG Zhe-yi,CHEN Yan-yan— Department ofRespiratory Huadong Hospital affiliated tO Fudan Universi~，Shanghai 200040，China IAbstract】Purpose To validate the therapeutic effect and safety of CT—guided transthoracic needle biopsy for the di— agnosis of pulmonary nodules．Patients and Methods Included in the present study were 36 patients with peripheral pulmon— ary nodules whose nature was not confirmed by sputum cytology or fibroscopy Core needle biopsy was done for pathologic study by using Bard Innovations Magnum Reusable Biopsy System under CT guidance． Results A total of 36 biopsies were performed for the 36 patients．The result was positive in 33 patients (91．6％)，and negative in the remaining three patients(8．4％)，the overall detection ratebeing 91．6％，including 86．1％ofpatientswithmalignancies．Thereweretwo patients who experienced mild hemoptysis after the biopsy procedure．Conclusion CT—guided transthoracic needle biopsy using Bard Reusable Biopsy System proved to be safe and effective for the diagnosis of suspected peripheral pulmonary no— dules． IKey words】 Tomography，X-ray computed；Biopsy，needle；Lung neoplasms 自从 1955年 Laub