[1]袁小冬,汪建华,左长京,等.CT引导下隆突下淋巴结穿刺活检术的临床应用[J].介入放射学杂志,2011,(04):310.
　YUAN Xiao-dong,WANG Jian-hua,ZUO Chang-jing,et al.Clinical application of CT-guided percutaneous puncturing biopsy of subcarinal lymph node[J].journal interventional radiology,2011,(04):310.
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CT引导下隆突下淋巴结穿刺活检术的临床应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年04期
页码:
310
栏目:
临床研究
出版日期:
2011-04-30

文章信息/Info

Title:
Clinical application of CT-guided percutaneous puncturing biopsy of subcarinal lymph node
作者:
袁小冬;  汪建华;  左长京;  田建明
宁波市鄞州第二医院心胸外科；第二军医大学长海医院放射科，核医学科
Author(s):
YUAN Xiao-dong; WANG Jian-hua; ZUO Chang-jing; TIAN Jian-ming.
Department of Thoracic and Cardiovascular Surgery, Ningbo Yinzhou No.2 Hospital, Ningbo, Zhejiang Province 315010, China
关键词:
体层摄影术; Ｘ线计算机;  纵隔淋巴结;  活检;  病理学检查
分类号:
Ｒ７３４.２
文献标志码:
Ｂ
摘要:
目的　　　探讨ＣＴ引导下隆突下淋巴结穿刺活检的安全性及其临床应用价值。方法 回顾性总结２００６年７月　－　２０１０年７月１７例ＣＴ引导下隆突下肿大淋巴结穿刺活检的病例资料，穿刺结束后即时ＣＴ复查及短期随访，了解并发症情况，评估穿刺安全性。活检标本行病理学检查，评估穿刺活检准确性及其临床应用价值。结果　　　１７例患者中１４例首次穿刺活检针即准确进入隆突下淋巴结内，并获得组织学标本；３例首次穿刺活检针未能进入隆突下淋巴结内，其中２例因患者咯血，放弃活检术，１例于１周后行第２次穿刺成功。本组技术成功率为８８．２％（１５／１７）。１５例穿刺成功者中１３例获得病理学诊断，２例未能定性，本组病理活检阳性率８６．７％（１３／１５例），其中肺癌转移性淋巴结１０例，炎性反应性增生性淋巴结２例，结核１例。主要并发症有气胸和肺出血，其中２例咯血量较大，给予消炎和止血治疗后症状消失，并发症发生率２３．５％（４／１７例）。结论 ＣＴ引导下经皮隆突下淋巴结穿刺活检术成功率和准确性高，在熟练掌握穿刺技术的基础上，按照分布法操作安全性好，对指导临床治疗有很大帮助。

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备注/Memo

备注/Memo:
收稿日期：２０１０１０１８
更新日期/Last Update: 2011-04-30