CT引导经皮胸部病变切割针穿刺及常见并发症  

CT-guided Percutaneous Biopsy of Pulmonary Lesion and Complications

作　　者：关利君[1] 关丽英 马和平[3] 

机构地区：[1]内蒙古医学院 [2]内蒙古自治区第四医院呼吸科,内蒙古呼和浩特010010 [3]内蒙古自治区医院介入放射科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2007年第7期819-821,F0004,共4页Inner Mongolia Medical Journal

摘　　要：目的：探讨如何提高CT引导经皮胸部病变切割针穿刺术的准确性、安全性,降低并发症。方法：选择2001年3月～2005年8月的68例经皮胸部穿刺术患者。结果：68例中穿刺病理确诊恶性肿瘤45例,良性病变21例,未出结果2例。手术32例,与手术病理一致31例,无假阳性。经手术和随访证实,假阴性4例,假阴性率18.18%（4/22）。阳性和阴性预测值分别为100%（45/45）和81.82%（18/22）。气胸11例,占16.18%（11/68）,无插管处理。沿穿刺通道少量出血18例,咳血6例。结论：CT引导经皮胸部穿刺术准确性较高,并发症较低,应按病变部位选择穿刺体位和穿刺方法;熟悉病理解剖学知识后熟练操作,可降低常见并发症的发生。Objective： To discuss accuracy, safety and less complication of CT- guided percutaneous transthoracic needle biopsy of pulmonary lesion. Methods： The procedure was performed in 68cases with chest masses, during March 2001 -August 2005. Results： Of 68 cases studied, 45 proved to be cancers. 21 cases were benign lesions, 2 cases were no results, no false positive . 4 cases were false negative confirmed by surgery and clinical course. The positive and negative prediction value were 100 % （45/45） and （18/22）, respectively. 11cases occurred pneumothorax 16 % （11/68） without chest tube drainage. 18cases occurred little blood along needle biopsy thoroughfare, 6 cases coughed with blood. Conclusion： CT - guided predaceous transthoracic biopsy is useful in diagnosing pulmonary lesion with high accuracy and few complications.

关 键 词：放射学 介入 活组织检查 切割针 胸部病变 并发症 

分 类 号：R814.42[医药卫生—影像医学与核医学] R814.47[医药卫生—放射医学]