CT引导下经皮肺穿刺活检对肺部恶性肿瘤的诊断价值
王斌;伍安;范晔;刘娟;吴国明
【期刊名称】《中华医学杂志》 【年(卷),期】2013(093)038
【摘要】Objective To explore the diagnostic efficiency of percutaneous lung biopsy for malignant lung tumors under the guidance of computed tomography (CT).Methods The clinical data of 623 patients undergoing CT-guided percutaneous lung biopsy at Department of Respiratory Medicine,Xinqiao Hospital,Third Military Medical University from January 2010 to November 2012 were analyzed to examine the influencing factors for the occurrences of pneumothorax and hemoptysis,including patient age,gender,site of puncture,tumor location and size,depth and number of puncture,chronic obstructive pulmonary disease (COPD) and doctor's clinical experience.Results A total of 623 cases were recruited.There were 410 male and 213 female with an average age of 60 ± 11 (15-87) years.Among them,618 were diagnosed as malignant lung tumors with a positive rate of 99.2％.Pathological classifications were adenocarcinoma (n =387,62.1％),squamous carcinoma
(n
=166,26.6
％
),small
cell
lung
cancer
(n
=30,4.8％),undifferentiated cancer (n =18,2.9％) adenosquamous carcinoma
(n
=2,0.3
％
),sarcomatoid
carcinoma(n
=6,0.9％),leiomyosarcoma (n =3,0.5％),neuroendocrine carcinoma (n
CT引导下经皮肺穿刺活检对肺部恶性肿瘤的诊断价值
