[1]王 猛,周志刚,潘元威,等.新型同轴技术在前中纵隔肿块穿刺活检术中应用 [J].介入放射学杂志,2016,(04):329-331.
 WANG Meng,ZHOU Zhi- gang,PAN Yuan- wei,et al.Application of novel coaxial technique in performing puncture biopsy of anterior- middle mediastinal masses[J].journal interventional radiology,2016,(04):329-331.
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新型同轴技术在前中纵隔肿块穿刺活检术中应用 ()

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

卷:
期数:
2016年04期
页码:
329-331
栏目:
非血管介入
出版日期:
2016-04-25

文章信息/Info

Title:
Application of novel coaxial technique in performing puncture biopsy of anterior- middle mediastinal masses
作者:
王 猛 周志刚 潘元威 高剑波 杜可朴 李 帅
Author(s):
WANG Meng ZHOU Zhi- gang PAN Yuan- wei GAO Jian- bo DU Ke- pu LI Shuai
Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 前中纵隔 CT引导 穿刺活检 同轴技术
文献标志码:
A
摘要:
【摘要】 目的 评价新型同轴技术在CT引导下经胸骨路径前中纵隔肿块穿刺活检术中的临床应用。方法 2014年6月—2015年6月共21例接受CT引导下经胸骨前中纵隔肿块穿刺活检术患者。先应用14 G Bonopty骨穿刺套针穿刺建立同轴,再用18 G 安捷泰穿刺活检针或全自动切割针沿同轴行旋切负压抽吸或切割,取穿刺组织满意后,送病理检查。结果 2例患者因第一次取材较少行第2次穿刺活检术。穿刺病理结果为胸腺瘤11例(A型1例,AB型3例,B1型1例,B2型3例,B3型1例,胸腺癌2例),良性胸腺增生1例,淋巴瘤5例,纵隔型鳞癌3例,纵隔型神经内分泌癌1例。恶性肿瘤诊断的灵敏度88.19%(16/18),阳性预测值100%(16/16),无假阳性。良性病变诊断的特异性3/3,阴性预测值3/5,总的诊断准确率90.5 %%(19/21)。术后并发症:出血2例,均为极少量。无需处理。结论 CT引导下经胸骨同轴穿刺前中纵隔肿块活检,准确性较高、并发症发生率低,值得应用。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2015-08-29)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-04-21