摘要
目的探讨CT引导下经皮肺穿刺针吸术细胞学检查对肺癌的诊断价值。方法对100例行胸部CT检查提示肺内占位的患者进行CT引导下经皮肺穿刺针吸术细胞学检查。结果 100例临床疑诊为肺癌患者,经痰脱落细胞学、支气管镜等检查未确诊,予行CT引导下经皮肺穿刺针吸术细胞学检查,穿刺成功率98%,穿刺确诊率92%,9例发生气胸,5例发生咯血;未确诊8例患者后经胸腔镜、纵隔镜、开胸手术等检查及远期随访确诊为肺癌。结论对于疑诊肺癌的患者,CT引导下经皮肺穿刺针吸术细胞学检查是一项操作简单、并发症少、确诊率高的诊断手段,特别对直径<3 cm、临近脏器、大血管的病灶具有较高的诊断价值。
Objective To explore the value of CT-guided pereutaneous fine needle aspiration cytology in diagnosis of lung cancer. Methods 100 cases which were prompted lung space occupying lesions by chest CT examination were carried out CT-guided percutaneous fine needle aspiration cytology. Results 100 patients of clinically suspected lung cancer which could not be diagnosed through sputum cy- tology and bronchoscopy carried out CT-gnided percutaneous fine needle aspiration cytology. The success rate was 98% in the 100 cases, and the diagnosis rate was 92%. 9 cases with hemoptysis, 5 cases with pneumothorax. Undiagnosed eight patients after thoracoscopy, mediastinoscopy, thoracotomy and long-term follow-up were confirmed for lung cancer. Conclusion For suspected lung cancer patients, CT-guided percutaneous fine needle aspiration cytology technique is a simple operation,fewer complications and high rate diagnostic method, particularly for the lesions diameter less than 3 cm and the lesions adjacent viscera and vascular have a high diagnostic value.
出处
《临床肺科杂志》
2013年第2期205-206,共2页
Journal of Clinical Pulmonary Medicine
