摘要
目的 讨论CT导引下经皮胸、腹部穿刺并予脱落细胞学检查的临床意义及其操作体会。方法 回顾性分析 61例胸、腹部疾病 (肺部 31例 ,肝脏 2 5例 ,后腹膜 5例 )介入术前予以CT导引下穿刺活检资料。结果 经手术证实及临床随访观察 ,恶性肿瘤的穿刺活检阳性率为 91 .0 7% (51 56) ;假阴性率为 8.93 % (5 56) ,假阳性为 0(0 61 )。 2例气胸 ,无出血、空气栓塞及针道种植。结论 CT导引下胸腹部穿刺活检具有操作简便、并发症少、特异性强的细胞学诊断的优点 ;要对有可能出现的假阴性有足够的认识 。
Objective To evaluate the clinical meaning of CT-guided needle biopsy in chest and abdominal diseases.?Methods CT-guided needle biopsy was performed in 61 cases of chest and abdominal diseases before interventional therapy (lung 31 cases, liver 25 cases, rear-peritoneum 5 cases).?Results As compared with the results of surgery and clinical observation, the positive rate of malignant tumor biopsy was 91.07% (51/56), false negative rate 8.93%(5/56) and false positive rate zero (0/61). Pneumothorax were found in 2 cases. There was no haemorrhage, air embolism or needle metastasis.?Conclusion CT-guided needle biopsy is a safe, highly specific method for cytologic diagnosis. It is important to consider the false negative result seriously. In order to improve the accuracy of diagnosis, the clinical and radiological data should be consulted comprehensively, and repeated biopsy is important too.
出处
《徐州医学院学报》
CAS
2002年第4期329-331,共3页
Acta Academiae Medicinae Xuzhou
