CT联合经皮穿刺活检在小细胞肺癌诊断中应用价值.docVIP

CT联合经皮穿刺活检在小细胞肺癌诊断中应用价值[摘要] 目的 探讨CT联合经皮肺部穿刺活检在小细胞肺癌诊断中的应用价值。方法 回顾性分析65例小细胞肺癌患者的CT诊断及病理学检查资料。结果 65例患者中，CT确诊51例（78.46%），经皮肺部穿刺活检确诊55例（84.62%），CT+经皮肺部穿刺活检确诊62例（95.38%）。其中病灶位于右肺34例，左肺29例，纵隔内2例；中央型肺癌49例（75.38%），周围型肺癌16例（24.62%）。结论 CT联合经皮肺部穿刺活检是诊断小细胞肺癌的有效方法，对小细胞肺癌的早期发现，早期治疗，以及提高患者的生存期和生存质量具有十分重要的临床意义。 [关键词] 小细胞肺癌；中央型；周围型；CT诊断；病理学检查 [中图分类号] R734.2 [文献标识码] B [文章编号] 1674-4721（2012）07（a）-0122-02 The value of CT combined with percutaneous biopsy in diagnosis of small cell lung cancer TIAN Dejun Radiology Department, Qu Yuan Management District People’s Hospital in Hunan Province, Miluo 414400, China [Abstract] Objective To explore the value of CT combined with percutaneous lung biopsy in diagnosis of small cell lung cancer. Methods Sixty five cases of small cell lung cancer patients with CT diagnosis and pathological data were analyzed retrospectively. Results During the 65 cases, 51 cases (78.46%) were diagnosed by CT, 55 cases (84.62%) were diagnosed by percutaneous lung puncture biopsy, and 62 cases (95.38%) were diagnosed by CT combined with percutaneous biopsy. The lesions located in the right lung with 34 cases, in left lung with 29 cases, and in mediastina with 2 cases. 49 cases (75.38%) were central type carcinoma of lung. 16 cases (24.62%) were peripheral lung cancer. Conclusion CT combined with percutaneous lung biopsy is the effective method in diagnosis of small cell lung cancer, which has very important clinical significance in early detection and treatment of small cell lung cancer and improving of patient?s survival rate and quality of life. [Key words] Small cell lung cancer; Central; Peripheral; CT diagnosis; Pathological examination 小细胞肺癌（small cell lung cancer，SCLC)是一种高侵袭性的恶性肺部肿瘤，其发病率占所有肺癌患者的20％～30%[1]。常伴有广泛的纵隔淋巴结转移，并易于通过血道和淋巴管向远处播散[2]。为探讨CT联合经皮穿刺活检在小细胞肺癌早期诊断中的应用价值，以期提高小细胞肺癌的早期诊断率，现对2008年1月～2011年12月本院所收治的65例小细胞肺癌患者的CT诊断及病理学检查资料进行回顾性分析，报道如下： 1资料与方法 1.1一般资料 本组共65例，男40例，女25例，年龄32～48岁，平均43岁；临床主要表现为咳嗽、咳痰、痰中带血、气促、胸痛、颜面水肿、声嘶等。病程20 d～2年，平均6个月。其