摘要
目的探讨CT引导下经皮肺穿刺活检诊断老年患者肺炎性假瘤的价值。方法选择2010年2月～2012年12月本院怀疑为肺周围肿瘤并行CT引导下经皮肺穿刺活检诊断的老年患者32例,全部患者经术后病理确诊,分析经皮肺穿刺活检资料,评价其诊断率。结果本组患者术前CT引导下经皮肺穿刺活检诊断为炎性假瘤,术后病理检查确诊为炎性假瘤30例,腺癌1例,结核1例;CT引导下经皮肺穿刺活检诊断与病理诊断的符合率为93.8%(30/32);肺活检后并发少量气胸2例,经卧床休息及吸氧后自行吸收;咯血1例,经对症治疗后出血停止。结论 CT引导下经皮肺穿刺活检诊断老年患者肺炎性假瘤的准确率较高,并发症轻微,安全性较好,值得临床应用。
Objective To investigate the value of CT-guided percutaneous needle biopsy diagnosis of pulmonary in- flammatory pseudotumor in elderly patients. Methods 32 cases of elderly patients suspected with lung cancer in our hospital from February 2010 to December 2012 were given CT-guided percutaneous needle biopsy diagnosis,all the patients were confirmed by pathologically,percutaneous lung biopsy data was analyzed to evaluate diagnostic rate. Re- suits All the patients were diagnosed with inflammatory pseudotumor by preoperative CT-guided pereutaneous needle biopsy,postoperative pathologic diagnosis showed 30 cases of inflammatory pseudotumor,one case of tuberculosis,and one cases of adenocareinoma,the compliance rate of CT-guided percutaneous lung biopsy and pathological diagnosis of was 93.8%（30/32）;After lung biopsy,two cases of small pneumothorax and one case of emptysis were found,and they all recovered after symptomatic treatment. Conclusion The accuracy rate of CT-guided pereutaneous needle biopsy diag- nosis of pneumonia in elderly patients with pseudotumor is highly,with slight complication,good security,and it is wor- thy of application.
出处
《中国当代医药》
2013年第20期114-115,共2页
China Modern Medicine
关键词
CT引导
经皮肺穿刺
活检
老年
炎性假瘤
CT guidance
Percutaneous needle
Biopsy
Elderly
Inflammatory pseudotumor
