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目的 了解X线导向切割活检对原因不明肺疾病的定性诊断价值。方法 在CT或X线诊断机引导下 ,采用TEM NOBLOPSYNEEDLECataloy# T 16 / 15经皮肺切割取材后作病理细胞检查。结果 全部病例穿刺成功 ,取材长度≥ 1.5cm ,39例中经组织病理诊断恶性病变 2 2例 ,良性病变 16例 ,正常肺组织 1例 (后经手术及病理证实为腺癌 ) ,准确度为 97.44 %。术后并发气胸 3例 ,发生率 7.6 9% ,痰血 1例 ,均未作特殊处理。结论 X线导向切割肺活检有操作简单 ,成功率高且取材多并发病少等优点 ,对常规检查难以确诊的肺疾病 ,不矢为一种快捷有效的诊断方法。
Objective To understand the value of X-ray guided biopsy in the qualitative diagnosis of unexplained lung diseases. Methods Pathological examination of the lungs was performed with TEM NOBLOPSYNEEDLECataloy # T 16/15 percutaneous lung excision guided by CT or X-ray machine. Results The puncture of all the cases was successful. The length of the specimens was ≥ 1.5 cm. Among the 39 cases, 22 were pathologically diagnosed malignant lesions, 16 benign lesions and 1 normal lung tissue (confirmed by surgery and pathology). The accuracy was 97.44%. Postoperative pneumothorax in 3 cases, the incidence of 7.69%, sputum blood in 1 case, no special treatment. Conclusion X-ray guided cutting lung biopsy has the advantages of simple operation, high success rate, less material and less complications. It is not an effective and quick diagnostic method for the routine diagnosis of pulmonary diseases.