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目的 评价切割针刺活检术在儿童实体肿瘤诊治中应用的准确性和安全性。方法 2 0 0 1年 1月至2 0 0 2年 1月共 10例肿瘤患儿在CT引导下进行针刺切割活检术 ,其中恶性肿瘤 8例包括神经母细胞瘤 4例、淋巴瘤 3例、生殖细胞瘤 1例 ,良性肿瘤 2例包括神经纤维瘤 1例、节神经细胞瘤 1例。结果 术后主诉疼痛 2例(2 / 10 ) ;无血气胸、出血发生。除 3例正在化疗外 ,其余 7例得到术后病理证实 ,准确率 10 0 %。结论 CT引导下切割针刺活检术是一种简便、安全、准确的病理诊断方法。
Objective To evaluate the accuracy and safety of cutting needle biopsy in the diagnosis and treatment of solid tumors in children. Methods From January 2001 to January 2002, 10 cases of children underwent needle biopsy under CT guidance. Among them, 8 cases of malignant tumors included 4 cases of neuroblastoma, 3 cases of lymphoma , 1 case of germ cell tumor, 2 case of benign tumor including 1 case of neurofibroma and 1 case of ganglioneuroblastoma. Results Postoperative complaints of pain in 2 cases (2/10); no pneumothorax, bleeding occurred. In addition to 3 cases of chemotherapy, the remaining 7 cases were confirmed by pathology, the accuracy rate of 10%. Conclusion CT-guided cutting needle biopsy is a simple, safe and accurate pathological diagnosis.