[1]姚秋菊,王辉,季洪健,等.肺部病变多次活检的病理结果分析[J].医学研究与战创伤救治(原医学研究生学报),2020,22(01):48-51.[doi:10.3969/j.issn.1672-271X.2020.01.011]
YAOQiu-ju,WANGHui,JIHong-jian,et al.The pathologic results analysis of multiple biopsies of lung disease[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2020,22(01):48-51.[doi:10.3969/j.issn.1672-271X.2020.01.011]
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肺部病变多次活检的病理结果分析(
)
YAOQiu-ju,WANGHui,JIHong-jian,et al.The pathologic results analysis of multiple biopsies of lung disease[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2020,22(01):48-51.[doi:10.3969/j.issn.1672-271X.2020.01.011]
)《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]
- 卷:
- 第22卷
- 期数:
- 2020年01期
- 页码:
- 48-51
- 栏目:
- 临床研究
- 出版日期:
- 2020-01-06
文章信息/Info
- Title:
- The pathologic results analysis of multiple biopsies of lung disease
- Keywords:
- lung puncture; biopsy; pathology
- 分类号:
- R563
- 文献标志码:
- A
- 摘要:
- 目的 探讨肺部疾病临床活检方法的选择。 方法 回顾性分析因肺部疾病行肺穿刺活检和（或）联合其他活检方法的146例患者临床资料，分析活检组织病理结果与活检方法及活检部位的相关性。 结果 单一部位多次肺穿刺活检91例，其中80例患者活检次数为2次、10例患者活检次数为3次、1例患者活检次数为4次，病理结果相符率分别为91.2%、90.0%、100.0%，总相符率91.2%。多部位多种方式活检55例，病理结果总相符率56.4%。单一部位肺穿刺活检与多部位多种方式活检组织病理相符率差异具有统计学意义（P<0.01）。多部位多种方式活检病例中，同一部位同一种活检方式组织病理结果相符率86.0%，多部位同一活检方式相符率64.3%，差异具有统计学意义（P=0.032） 结论 肺部病灶的活检，联用不同的活检方法在不同部位取材，优于选用单部位单一的活检方法；而如果采用单一的活检方法，选取多部位活检，优于单一部位的活检。
- Abstract:
- Objective To direct the selection of lung disease biopsies. Methods Retrospectively analyse 146 patients who were given biopsies because of lung diseases. Results CT-guided percutaneous lung puncture biopsies at the same location were given to 91 patients；the accordant rates of biopsy results were 91.2%. 55 patients were given biopsies by different methods at different locations；The accordant rate was 56.4%. The difference in the coincidence rate of biopsies between a single site with lung puncture and multiple sites with multiple methods was statistically significant (P<0.01).In the multiple-site-biopsy patients， the accordant rates of biopsy results were 86.0% in the same way and same site，and that was 64.3% in the same way but different sites. The difference was statistically significant (P=0.032) Conclusion Biopsies of different types are better than single type；biopsies of different locations are better than a single location.
参考文献/References:
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