胸部疾病CT扫描定位下穿刺活检36例分析  

CT Scan Localization for Chest Disease Biopsy:An Analysis of 36 Cases

作　　者：吴耀明[1] 崔必珂 刘晓鸣[2] 

机构地区：[1]湖南省永州市人民医院放射影像科,湖南永州425000 [2]湖南省永州市人民医院呼吸内科,湖南永州425000

出　　处：《中国现代医生》2010年第13期69-70,共2页China Modern Doctor

摘　　要：目的探讨胸部疾病CT扫描定位下穿刺活检的临床应用。方法回顾性分析我院对36例胸部疾病在CT扫描定位下的穿刺活检术。结果一次性穿刺成功32例,占92%(32/36),两次以上重复穿刺3例,占8%(3/36)。炎性假瘤4例,肺结核3例,纵膈淋巴瘤1例,各种类型肺癌27例。少量气胸4例,占8.3%(4/36),少量肺内出血1例,占2.7%(1/36)。结论胸部疾病CT扫描定位下穿刺活检是安全可靠的定性诊断方法,在临床上有重要的价值,值得广泛普及推广。Objective To explore the clinical application of CT scan localization for chest disease biopsy. Methods A retrospective analysis was made of 36 cases of chest disease biopsy by using CT scan in our hospital. Results One-time successful puncture accounted for 92% in 32 cases（32/36）and two or more repeat punctures accounted for 8% in 3 cases（3/36）. Four cases of inflammatory pseudotumor,3 cases of pulmonary tuberculosis, 1 case of mediastinal lymphoma and 27 cases of various types of lung cancer were found. Four cases showed a small amount of pneumothorax（8.3%, 4/36）and 1 case, a small amount of pulmonary hemorrhage（2.7% 1/36 ）. Conclusion CT scan localization for chest disease biopsy is a safe and reliable diagnostic method, with great clinical value, worthy of wide adoption.

关 键 词：胸部病变 CT定位 穿刺活检 

分 类 号：R445.1[医药卫生—影像医学与核医学]