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疑似胸腔肿瘤的非抽吸穿刺活检:2010例临床病例经验

Nonaspiration puncture biopsy for suspected thoracic cavum tumor: experience of 2,010 clinical cases.

作者信息

Qin D X, Cheng G, Wang W H, Li J Y, Son Y W, Pan Q

机构信息

Department of Radiation Oncology, Cancer Institute (Hospital), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

出版信息

Am J Clin Oncol. 2001 Apr;24(2):135-7. doi: 10.1097/00000421-200104000-00007.

DOI:10.1097/00000421-200104000-00007
PMID:11319286
Abstract

In our hospital from October 1980 to February 2000, 2,010 patients with suspected thoracic cavum cancer were diagnosed by nonaspiration puncture with multiple-hole type and surface trough-type biopsy needles. The positive rate of cytology or pathology examination for lesions in pleura, mediastinum, and lung tissue were 88.6% (148/167), 83% (297/358), and 80.2% (1,191/1,485), respectively. The mean positive rate in all cases was 81.4% (1,636/2,010). Complications rates for pneumothorax or hemoptysis were 1.3% and 0.8%, respectively, in this group. Such revised puncture needles have been used by us in various organs, such as brain tumors, metastatic lymph nodes of head and neck cancers, malignant disease of breast, liver, kidney, prostate, rectum and bone, etc. The use of such nonaspiration puncture needles is very simple, safe, and effective; even for beginners with this technique, the rate of successful diagnoses is fairly high.

摘要

1980年10月至2000年2月,我院采用多孔型和表面槽型活检针非抽吸穿刺法诊断了2010例疑似胸腔癌患者。胸膜、纵隔和肺组织病变的细胞学或病理检查阳性率分别为88.6%(148/167)、83%(297/358)和80.2%(1191/1485)。所有病例的平均阳性率为81.4%(1636/2010)。该组气胸或咯血的并发症发生率分别为1.3%和0.8%。我们已将这种改良穿刺针用于各种器官,如脑肿瘤、头颈部癌转移淋巴结、乳腺、肝脏、肾脏、前列腺、直肠和骨骼等恶性疾病。这种非抽吸穿刺针的使用非常简单、安全且有效;即使是该技术的初学者,诊断成功率也相当高。

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