电视透视导引下经皮肺穿刺活检在肺部病变的诊断价值  

The Value of Fluoroscopic Guided Percutaneous Lung Neddle Biopsy in Pulmonary Lesions

作　　者：孟家晓 李品林 王建华 龙显荣 

机构地区：[1]广东省佛山市第四人民医院,528000

出　　处：《现代医用影像学》2012年第6期384-387,共4页Modern Medical Imageology

摘　　要：目的:探讨电视透视导引下经皮肺穿刺活检在肺部病变的诊断价值。材料与方法:217例肺部病变患者,行CT平扫+增强后,在电视透视导引下行经皮肺部病灶细针穿刺活检,统计分析穿刺术的成功率,阳性率,并发症发生率。结果:217例中穿刺成功,获得活检标本212例,成功率达97.7%,获得病理结果 206例,阳性率达95.0%,并发症:气胸23例(10.6%),肺出血27例(12.4%),疼痛不适12例(5.5%),穿刺失败5例(2.3%)。结论:结合CT平扫+增强,在电视透视导引下行经皮肺部病灶细针穿刺活检,成功率、阳性率高,并发症低,是一种操作简便,安全实用的定性诊断方法。Purpose:To analyze the value of fluoroscopic guided percutaneous lung needle biopsy in pulmonary lesions.Materials and Methods:217 patients with lung lesions were enrolled in this study.After line enhanced CT scan,the patients was taken percutaneous lung needle biopsy guided by fluoroscopic.The success rate of puncture positive rate,complication rate were collected by statistical analysis.Results:In the 217success puncture cases,212 biopsy specimens was obtained,(97.7% success rate) cases pathologic results was obtained,(Positive rate was 95.0%).Complication: Pneumothorax in 23 patients(10.6%),Pulmonary hemorrhage in 27 cases(12.4%),Pain and discomfort in 12 cases(5.5%),Puncture failure in 5 cases(2.3%).Conclusion:Enhanced CT scan with fluoroscopic guided percutaneous lung needle biopsy has high success rate and positive rate,low complication,which is a simple,safe and practical method for qualitative diagnosis.

关 键 词：肺部病灶 活组织检查 电视透视 

分 类 号：R563[医药卫生—呼吸系统]