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不同定位方法对经皮肺活检术的影响

Effects of different kinds of location guiding percutaneous transthoracic biopsy

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【作者】 李学兵谢金祥

【Author】 LI Xue-bin,XIE Jing-xiang(Department of Respiration,The First Affiliated Hospital of Anhui Medical University,Hefei 230022)

【机构】 安徽医科大学第一附属医院呼吸内科安徽省铜陵市人民医院内科 安徽合肥230022安徽铜陵244100

【摘要】 目的对比在CT定位、模拟定位、B超定位下经皮肺活检术在诊断周围性肺病变中的临床价值。方法将120位患者分为3组,CT定位组40例,模拟定位组50例,B超定位组30例,对不同定位方法临床诊断价值进行分析。结果CT定位组、模拟定位组和B超定位组活检成功率分别为92.5%、96%、66.7%;病理诊断阳性率分别为82.5%、82%、50%。结论CT定位及模拟定位是经皮肺活检术两种较为理想的定位方法,明显优于B超定位,值得在临床中应用。

【Abstract】 Aim To investigate the value of CT and simulator and B-type ultrasonograph guiding percutaneous transthoracic for the diagnosis of pulmonary lesious.Methods 120 patients with peripheral pulmonary lesions receiving transthoracic needle biopsy were reported.40 patients received transthoracic fine needle biopsy of lung under CT,while 50 patients under simulator guided,30 patients under B-type ultrasonograph guided.The clinical values of percutraneous transthoracic under different location guiding were analyzed.Results The success rates of the percutaneous transthoracic were 92.5% under CT,96% under simulator,66.7% under B-type ultrasonograph,respectively;The masculine rates were 82.5% under CT,82% under simulator,50% under B-type ultrasonograph,respectively.Conclusion CT and simulator guiding percutaneous transthoracic are safe and quick for pulmonary lesions,and better than B-type ultrasonograph guiding.They should be widely used in the diagnosis of peripheral pulmonary lesions.

  • 【文献出处】 安徽医药 ,Anhui Medical and Pharmaceutical Journal , 编辑部邮箱 ,2007年07期
  • 【分类号】R445
  • 【被引频次】1
  • 【下载频次】25
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