CT导引经皮肺穿刺活检对肺部肿块的诊断价值  

Diagnosis value of CT-guided percutaneous trasthoracic needle biopsy of the pulmonary nodules

作　　者：李军[1] 韦树华[1] 赵家年[1] 蒋会东[1] 

机构地区：[1]滁州市第一人民医院CT,MIR室,安徽239000

出　　处：《安徽卫生职业技术学院学报》2005年第5期43-44,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:总结CT导引经皮肺穿刺术的准确性、并发症及应用价值。方法:采用国产9号腰穿针及日本QUICKCUT18G穿刺针对32例肺内结节或肿块进行穿刺,所有病例均进行细胞学和组织学检查。结果:32例穿刺成功率占100%(32/32);其中恶性肿瘤24例,穿刺确诊20例,占83.3%(20/24);结核球2例,占6.2%(2/32);肺脓疡3例,占9.3%(3/32);共有2例发生气胸占6.2%(2/32)。结论:CT导引下肺穿刺活检准确性高,并发症少,特别对肺周围性小结节灶的诊断价值较大。Objective To evaluate the diagnostic accuracy ,complicalions and application of CT-guided percutaneous transthoracic needle biopsy of pulmonary nodules. Methods To adopt domestic lumbar puncture needle 9 and Japan QUCKCUT 18G punctre needle on 32 patients with pulmonary nodules percytaneous,and cytologic and histologic studies were made. Results Among 32 cases puncture success rate 100%（32/32）, 24 were proved to be cancers, 20 cases were confined by biopsy 83.3%（20/24）, 2 cases tuberculoma 6.2%（2/32）, 3 cases lung abscess 9.3%（3/32）, 2 cases occurrde pueumothorax 6.2%（2/32）. Conclusion CT-guided percutaneous translhoracic needle biopsy is very helpful in diagnosing pulmonary nodule samller

关 键 词：CT导引 活组织检查 肺穿刺 

分 类 号：R446.8[医药卫生—诊断学]