| CT引导下20G切割式穿刺活检针在胸部病变活检中的临床应用 |
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| 引用本文： | 陈相猛,柳学国,梁明柱,王国杰,张丽静,秦培鑫,陈凯,何燕丽,丁香莲,易先平.CT引导下20G切割式穿刺活检针在胸部病变活检中的临床应用[J].CT理论与应用研究,2010,19(4):91-98. |
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| 作者姓名： | 陈相猛 柳学国 梁明柱 王国杰 张丽静 秦培鑫 陈凯 何燕丽 丁香莲 易先平 |
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| 作者单位： | 中山大学附属第五医院放射科;中山大学附属第五医院病理科; |
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| 摘 要： | 目的:探讨CT引导下20G切割式穿刺活检针在胸部病变活检中的临床应用价值,并分析并发症情况。材料和方法:回顾性分析资料完整的72例CT引导下胸部穿刺活检病例,所用的活检器材均为20G切割式穿刺活检针。纵隔病变5例,胸膜病变5例,肺部病变62例。统计穿刺活检诊断准确性,恶性病变诊断敏感性、特异性,分析并发症及其影响因素。结果:穿刺活检病理诊断为恶性病变58例,良性病变8例,非特异性诊断6例,后均经手术切除、临床治疗或随访证实。穿刺活检诊断准确率95.8%(66/72),恶性病变诊断敏感性95.1%(58/61),特异性为100%(11/11),无假阳性病例。6例(8.3%)发生并发症:气胸4例,肺泡出血1例,少量咯血1例。结论:采用20G切割式穿刺活检针进行CT引导下经皮胸部穿刺活检准确率高、并发症少,具有较高的临床价值。
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| 关 键 词： | 体层摄影术 放射学 介入 胸部疾病 |
CT-guided Biopsy of Thoracic Lesions Using 20-gauge Cutting Needle |
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| CHEN Xiang-meng,LIU Xiu-guo,LIANG Ming-zhu,WANG Guo-jie,ZHANG Li-jing,QIN Pei-xin,CHEN Kai,HE Yan-li,DING Xiang-lian,YI Xian-ping.CT-guided Biopsy of Thoracic Lesions Using 20-gauge Cutting Needle[J].Computerized Tomography Theory and Applications,2010,19(4):91-98. |
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| Authors: | CHEN Xiang-meng LIU Xiu-guo LIANG Ming-zhu WANG Guo-jie ZHANG Li-jing QIN Pei-xin CHEN Kai HE Yan-li DING Xiang-lian YI Xian-ping |
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| Institution: | CHEN Xiang-meng a,LIU Xiu-guo a,LIANG Ming-zhu a,WANG Guo-jie a,ZHANG Li-jing a,QIN Pei-xin a,CHEN Kai a,HE Yan-li a,DING Xiang-lian a,YI Xian-ping b a).Department of Radiology,b).Department of Pathology,The 5th Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,China |
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| Abstract: | Purpose:To evaluate the diagnostic value and complications of CT-guided biopsy of thoracic lesions using 20-gauge(20G) cutting needle.Materials and Methods:We retrospectively analyze the diagnostic outcome of 72 cases of CT-guided biopsy of thoracic lesions using 20G coaxial cutting needles:5 cases with mediastinal lesions,5 cases with plural lesions,other 62 cases with pulmonary lesions.Sensitivity,specificity,and diagnostic accuracy were calculated,complications and the relative factors were evaluated.Res... |
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| Keywords: | tomography radiology intervention thoracic disease |
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