摘要
目的：观察CT引导不同肺穿刺活检的临床效果。方法收集2007年5月至2013年1月行CT引导下经皮穿刺肺活检101例患者的临床资料，其中男63例，女38例，年龄15～72岁，平均57岁。所有患者均行CT引导肺穿刺活检，统计分析57例采用自动活检枪含抽吸针（FNA）与44例采用自动切割针插入带槽针芯（FNA＋Core）方法的诊断结果与并发症的发生率。结果FNA术与FNA＋Core术恶性疾病诊断率分别为77．2％、65．9％，准确率分别为93．2％、95．5％；良性疾病诊断率分别为22．8％、34．1％，准确率分别为84．6％、86．7％。FNA＋Core术辅助诊断良性肺部病变的准确率明显高于FNA术（P＜0．05），两种方法的并发症发生率比较，差异无统计学意义（χ2＝0．68，P＝0．912）。结论经皮肺穿刺活检技术可通过FNA术与FNA＋Core术获取标本；且后者辅助诊断良性肺部病变的准确率明显高于前者。
Objective To explore clinical effects of different methods of CT-guided puncturations for lung bi-opsies .Methods A total of 101 patients ,including 63 males and 38 females ,with age from 15 to 72 years old（average 57 years old） ,receiving CT-guided lung biopsies from May 2007 to January 2013 were enrolled .Among all patients , 57 cases were treated by fine needle aspiration （FNA） and 44 were treated with FNA＋Core .Diagnosis and incidence of complications were compared between the two groups .Results The diagnostic rates of malignant in FNA group and FNA＋Core group were 77 .2% and 65 .9% ,and the accurate diagnostic rates were 93 .2% and 95 .5% .The diag-nostic rates of benign lesions in FNA group and FNA ＋Core group were 22 .8% and 34 .1% ,and the accurate diag-nostic rates were 84 .6% and 86 .7% ,respectively .The accurate diagnostic rate of benign lesions in FNA ＋ Core group was higher than FNA group（P〈0 .05） ,but the difference of the incidence of complications between the two groups was not significant （χ2 =0 .68 ,P=0 .912） .Conclusion CT-guided lung biopsies might be able to be conduc-ted by FNA and FNA＋Core technique ,and the latter could be more accurate for the diagnosis of benign lesions .
出处
《检验医学与临床》
CAS
2014年第9期1175-1176,共2页
Laboratory Medicine and Clinic
基金
辽宁省高校优秀人才计划资助项目(LJQ2011085)
关键词
CT
肺
穿刺
活检
CT
lung
puncturations
biopsies
