CT模拟定位系统引导下经皮肺穿刺在老年肺部肿块的临床应用  

Clinical Application of CTS-guided Percutaneous Transthoracic Biopsy in Elder Patients with Lung Mass

作　　者：袁志军[1] 罗以[1] 王倩之[1] 吴尉[1] 谢冠慧[1] 

机构地区：[1]湖南省肿瘤医院内二科,湖南长沙410013

出　　处：《实用预防医学》2010年第4期740-741,共2页Practical Preventive Medicine

摘　　要：目的评价CT模拟定位系统(CTS)引导下经皮肺穿刺在诊断老年周围性肺占位病变的临床应用价值。方法2005年1月-2010年1月,应用弹簧芯状活检针在CTS引导下对老年肺部肿块患者行经皮肺穿刺并经病理和临床随访证实,对其中具有完整资料的124例老年病人进行回顾性总结分析。结果对124例病人的124个病灶共进行了141次穿刺活检,全部病例取得了满意的组织学标本,取材成功率为100%。其中恶性肿瘤112例,良性病变12例,总诊断准确率为100%。气胸发生率为5.6%。咯血发生率为12.1%,未发生大出血。结论CTS引导下弹簧芯状活检针经皮肺穿刺活检对老年性肺癌的诊断是一种准确性高,安全可靠又简单易行的诊断方法。Objective To evaluate the clinical value of CTS-guided percutaneous transthoracic biopsy for the diagnosis of pulmonary lesions in elder patients.Methods The intact data of 124 elder patients underwent percutaneous pulmonary biopsy with a spring-core biopsy needle under CTS guidance were analyzed.The diagnoses of all the cases were confirmed by pathology and follow-up.Results One hundred and twenty-four lung biopsies were performed on 124 patients and satisfactory tissue specimens obtained in all patients,with the successful rate of 100%.The diagnoses for malignant tumors and benign lesions were 112 cases and 12 cases respectively.The overall accuracy rate was 100%.Pneumothorax was noted in 7 cases （5.6%） and hemoptysis seen in 15 patients （12.1%）.Massive hemorrhage did not occur in all the patients.Conclusions CTS-guided percutaneous transthoracic biopsy with a spring-core biopsy needle is an accurate,safe and quick diagnosis method for pulmonary lesions in elder patients.

关 键 词：老年病人 经皮肺活检 CT模拟定位系统 

分 类 号：R445[医药卫生—影像医学与核医学]