CT引导经皮细针穿刺活检诊断胸腹部占位性病变23例

CT guided percutaneous fine needle biopsy in the diagnosis of chest and abdominal diseases of 23 cases

目的：应用 Ｃ Ｔ 导向经皮穿剌活检胸腹部占位性病灶，明确病变性质，提高影像诊断率，为临床治疗提供准确依据． 方法：采用 Ｇ Ｅ９８００ Ｑｕｉｃｋ 及 Ｓｏｍ ａｔｏｍ Ａ Ｒ Ｃ Ｃ Ｔ 扫描机对２３ 例胸腹部占位性病灶进行扫描定位，用１８ Ｇ～２２ Ｇ 的抽吸及组织型活检针对病灶穿剌取材涂片并做组织切片病理检查． 结果：在 ２３ 例中１９ 例得到明确组织细胞学诊断，２ 例因配合不佳穿剌取材不成功，另有２ 例因取材质量不佳诊断不明确． 无严重并发症发生． 结论： Ｃ Ｔ 导引细针活检细胞学检查技术是一种准确、简便、有效、创伤小的诊断方法．

AIM: CT guided fine needle biopsy was used to distinguish the nature of chest and abdominal space occupying lesions, so as to improve the imageing diagnosis and provide basis for clinical therapy. METHODS: Chest and abdominal space occupying lesions of 23 cases were scanned and located by GE 9800 Quick and Somaton ARC CT systems. Then fine needle aspiration biopsy was made in these masses with 18 G^22 G needles and specimens obtained were cut into sections for microscopic examination of pathology. RESULTS: Accurate pathological and cytological diagnosis was made in 19 cases. Two cases failed to be diagnosed due to the bad quality of biopsy samples. Aspiration biopsy failed in another two because of uncooperation of the patients. No side effects and complications were observed. CONCLUSION: CT guided fine needle biopsy is a good choice for the pathological diagnosis of chest and abdominal occupying lesions, which is not only effective and easy to be performed, but also simple and with high accuracy.