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近10多年来,肺周围肿块在X线、痰细胞学及纤维支气管镜等检查仍不能及时确诊的情况下,经皮针吸肺活检术为临床诊断提供了一种可靠的手段,使这类患者的诊断符合串得到了进一步提高。我院对35例位于肺周围的肿块在CT双重定位导向下经皮粗针肺穿刺活检,取得满意结果。现总结体会如下: 1 资料与方法 1.1 资料 本组男23例、女12例,年龄44～78岁,平均60.5岁。35例X线胸片、肺CT片均显示为肺周围肿块,经痰细胞学及纤维支气管镜检查未能确诊者。穿刺前对患者详细说明检查过程,以取得合作。此外,常规化验出、凝血时间,血小板计数和凝血酶原时间等。
In the past more than 10 years, percutaneous pulmonary needle biopsy has provided a reliable means for clinical diagnosis of perirenal mass in cases where X-ray, sputum cytology, and fiberoptic bronchoscopy cannot be diagnosed in a timely manner. The patient’s diagnostic compliance string has been further improved. In our hospital, 35 cases of lung around the tumor under the dual positioning of CT guided by the needle percutaneous needle biopsy, with satisfactory results. The experience is summarized as follows: 1 Materials and Methods 1.1 Data The group of 23 males and 12 females, aged 44 to 78 years, an average of 60.5 years old. Thirty-five chest radiographs and pulmonary CT scans showed pulmonary masses that were not confirmed by sputum cytology and fiberoptic bronchoscopy. Before the puncture, the patient was explained in detail about the examination process to obtain cooperation. In addition, routine testing, clotting time, platelet count, prothrombin time, etc.