论文部分内容阅读
肺癌痰的细胞学诊断历史已久,加之纤支镜检广泛开展,对中央型肺癌的细胞学诊断有了进一步提高,但对周围型肺癌的细胞学诊断受到一定的限制。近年来我们对X线显示肺周围型团块影病例,在CT或B超引导下,经皮细针肺穿针吸细胞学检查,30分钟内即迅速获得细胞学诊断,显著提高了周围型肺癌的诊断率及块影的鉴别诊断。本组资料为周围型块影318例,男性257例,女性61例,右上叶107例,中叶16例,下叶20例,左肺117例,左上叶75例,左下42例,双肺弥散性小结节块加团块影8例。最大块影6.2cm最小2.8cm。所有病例浅表淋巴节均无肿大。318例针吸细胞学诊断率高达91.8%(292/318),且84例施行手术治疗经组织学诊断有83例相符合。两者符合率达98.8%(83/84)。副作用极少仅1例针吸并发局限性气胸。
The cytological diagnosis of lung cancer sputum has a long history, coupled with the extensive development of fibrobronchoscopy, the cytological diagnosis of central lung cancer has been further improved, but the cytological diagnosis of peripheral lung cancer is limited. In recent years, we have shown X-ray findings of peripheral pulmonary lump masses. Under CT- or B-ultrasound-guided percutaneous needle aspiration cytology, rapid cytological diagnosis within 30 minutes has resulted in significant improvements in peripheral types. Diagnosis of lung cancer and differential diagnosis of block shadows. This group of data is 318 cases of peripheral block shadow, male 257 cases, female 61 cases, right upper lobe 107 cases, the middle lobe 16 cases, lower lobe 20 cases, left lung 117 cases, left upper lobe 75 cases, left lower 42 cases, both lungs diffuse Sexual nodules were added to masses in 8 cases. Maximum block shadow 6.2cm minimum 2.8cm. All cases had no enlargement of superficial lymph nodes. The diagnostic rate of needle-aspiration cytology in 318 cases was as high as 91.8% (292/318), and 84 cases of 84 cases undergoing surgical treatment were histologically diagnosed in 83 cases. The coincidence rate was 98.8% (83/84). Only one case of side effects was associated with limited pneumothorax.