摘要
目的:总结胸部CT增强扫描在CT引导下经皮肺穿刺活检术前的临床应用价值。方法:回顾分析30例行CT引导下经皮肺穿刺活检术患者术前胸部CT增强扫描表现及其在穿刺活检术中所起的作用。结果:2例CT增强明确诊断:肺动静脉畸形和肺隔离症各1例,避免穿刺检查。28例实施活检术患者经CT增强扫描定位后,26例病理明确诊断;1例病理显示凝固性坏死组织,不能明确诊断;1例先后两次穿刺活检病理均未见恶性依据,1年后于上海经活检诊断为细支气管肺泡癌。全部病例未发生严重并发症。结论:胸部CT增强扫描在CT引导经皮肺穿刺活检术前具有重要的临床应用价值。
Objective ：To study the application value of chest contrast-enhanced CT scanning before CT-guided percutaneous needling hiopsy（PTNB）. Methods ：30 cases of chest contrast-enhanced CT images data before CT-guided PTNB and the action of the PTNB were retrospectively reviewed.Results ：2 cases establish diagnosed ： pulmonary arterial venous malformation（PAVM） and pulmonary sequestration each ease, to avoid biopsy.The PTNB was successfully performed in 28 eases after the location of chest contrast-enhanced CT, 26 cases diagnosed by pathological diagnosis ; 1 case was showed eoagulative necrosis tissue, couldn＇t clear diagnosis ; The PTNB was repeated find no malignant tissue in 1 case, but it was diagnosed bronchioloalveolar carcinoma after year in shanghai.No serious complication occurred in all patients.Conclusion ：Chest contrast-enhanced CT has value of clinical application before PTNB.
出处
《中外医学研究》
2012年第19期42-43,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
