摘要
本文报告了经X线、CT和B超检查纵隔肿瘤28例,26例经病理证实,3例行B超导向经皮纵隔穿刺活检(PMPB),联合检查24例,手术证实临床诊断率为66.7%。PMPB 检查3例均成功,无并发症。结果表明,X 线和B 超或CT,和三项联合检查能提高纵隔肿瘤诊断率,对怀疑恶性肿瘤者,B 超导向下行PMPB 可以获得病理诊断,对失去手术时机的恶性肿瘤,PMPB 获得病理诊断指导放疗和化疗,免去不必要的手术。
We reviewed 28 cases of mediastinal tumors and cysts with x-ray,CT and ultrasound check,26 of themhad pathological diagnosis in which3 cases got pathological diagno-sis by the way of percutaneousmediastinal pancture biopsy(PMPB)under the guiedance of ultrasound.Combined checked 24 eases werecomfirmed by the operation witha clinically diagnosis rate of 66.7%PMPB was successfully performedin 3 cases with no complicationsWe recommand that combinedcheck of the three items can beused in anteropr mediastinal tum-ors and at meantime PMPB beperformed under the ultrasound,if any evidence indicates malignancy and combined x ray can CTcheck in middle and posteriormediastinal tumors which can notbe clearly detected by ultrasound.If malignancy has been comfirmedCT check then is necessary fordirection of surgery.PMPB ininoperable malignant tumors willbe used in getting histologic diagnosis for direction of radiotherapy and chemotherapy。
