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超声与CT引导下经皮肺穿刺活检在临床诊断中的应用

曲春瑜 赵德信

临床医学工程Issue(6):681-682,2.
临床医学工程Issue(6):681-682,2.DOI:10.3969/j.issn.1674-4659.2014.06.0681

超声与CT引导下经皮肺穿刺活检在临床诊断中的应用

Application of Ultrasound and CT-Guided Percutaneous Lung Puncture Biopsy in Clinical Diagnosis

曲春瑜 1赵德信2

作者信息

  • 1. 广东省清6市人民医院CT磁共振科,广东清651151
  • 2. 牡丹江医学院红旗医院介入科,黑龙江牡丹江157011
  • 折叠

摘要

Abstract

Objective To explore the clinical application of ultrasound and CT-guided percutaneous lung puncture biopsy in lung lesions. Methods The clinical data of 63 patients with percutaneous lung puncture biopsy in lung lesions was retrospectively analyzed. Based on the lesion site, puncture was made with the aid of ultrasound or CT. 61 cases were pathologically diagnosed. Results Among 63 patients, 14 cases underwent ultrasound-guided puncture, and 49 cases underwent CT-guided puncture. Malignant tumor was discovered in 48 cases, including 41 cases of primary lung cancer (17 cases of squamous cell carcinoma, 21 cases of adenocarcinoma, 3 cases of undifferentiated carcinoma), 6 cases of metastatic tumors from other parts or organs, 4 cases of pleura mesothelioma (3 benign and 1 malignant), 2 cases of tuberculosis, 8 cases of inflammatory pseudotumor. And 2 cases could not be diagnosed. The accuracy of biopsy diagnostic was 96.8%, and no life-threatening serious complications occurred. Conclusions Ultrasound and CT-guided percutaneous lung puncture biopsy is a safe, effective and significant diagnostic method for the identification of benign and malignant lung lesions. Correctly selecting ultrasound or CT guidance according to the site of the lesion can not only improve the safety and accuracy, but also reduce complications, which has great clinical value.

关键词

超声与CT引导/经皮肺穿刺/活检

Key words

Ultrasound and CT guidance/Percutaneous lung puncture/Biopsy

分类

医药卫生

引用本文复制引用

曲春瑜,赵德信..超声与CT引导下经皮肺穿刺活检在临床诊断中的应用[J].临床医学工程,2014,(6):681-682,2.

临床医学工程

1674-4659

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