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本文分析36例癌瘤患者的针刺活检资料,并与X线、支气管镜检查及胸水细胞学结果比较,藉以评价其诊断价值。36例皆用Vim-Silverman 氏针穿刺活检,共作46例次。病例最后都经手术切除;支气管镜或其他途径取得标本进行病理检查证实。结果:36例针刺活检示癌瘤特异改变者24/36例(66.7%);呈非特异性改变者5/36例(13.8%);示正常胸膜和标本不足的分别为3例(8.4%)和4例(11.1%)。针刺活检次数与结果的关系,受检一次的28例,二次的6例,三次的2例,各组找到癌瘤特异改变的分别为17/28(60.7%)、5/6例、2/2例。各种检查方法的单项阳性结果:针刺活检24例(66.7%)、胸水脱落细胞13例(36.1%),X 线9例(25%),支气管镜
This article analyzes the data of 36 cases of cancer patients with needle biopsy, and compared with X-ray, bronchoscopy and pleural effusion cytology results, in order to evaluate its diagnostic value. All 36 cases were treated with Vim-Silverman needle biopsy for a total of 46 cases. All cases were surgically removed at the end; bronchoscopes or other methods to obtain specimens for pathological examination confirmed. RESULTS: Thirty-six acupuncture biopsy showed 24/36 (66.7%) patients with specific cancerous changes, 5/36 (13.8%) patients with non-specific changes, and 3 patients (8.4%) with normal pleural and specimen defects. ) and 4 cases (11.1%). The relationship between the number of acupuncture biopsy and results was 28 in the first, 6 in the second, and 2 in the third. The specific changes in the cancers found in each group were 17/28 (60.7%), 5/6, respectively. 2/2 cases. Single positive results of various examination methods: 24 cases (66.7%) of needle biopsy, 13 cases (36.1%) of pleural effusion cells, 9 cases (25%) of X-ray, and bronchoscope