活检枪联合胸膜活检套管针经皮肺活检的临床效果  

Observation of Effect on Biopsy Gun Combined with Trocar of Biopsy in the Percutaneous Lung Biopsy

作　　者：戴梅仙[1] 戴新刚[1] 黄柳柳[1] 沈立飞[1] 杨旭芒[1] 

机构地区：[1]江苏省溧阳市中医院呼吸内科,江苏溧阳213300

出　　处：《临床医学工程》2010年第9期59-60,共2页Clinical Medicine & Engineering

摘　　要：目的评价活检枪联合胸膜活检套管针在CT引导下经皮肺活检的临床效果。方法 100例肺部周围性肿块,在CT引导下选定活检的最佳方位与深度,根据"十"字标记插入胸膜活检套管针,固定套管针的方位,拔出套管针芯,插入TSK活检枪,进针后反复切割,取得标本后福尔马林固定,送检病理。结果 100例病人全部活检成功。病理诊断肺癌81例,11例为良性病变,未明确诊断8例。在100例中病理确诊92例,确诊阳性率达92%。结论活检枪联合胸膜活检套管针在CT引导下经皮肺穿刺活检,取材多,病理确诊率高,并发症少,值得推广。Objective To evaluate the diagnostic accuracy and safety of biopsy gun combined with trocar of biopsy in the percutaneous lung biopsy.Methods CT guided percutaneous lung biopsy were performed on 100 patients who suffered from pulmonary peripheral solids lesions to review.Results The successful rate of puncture diagnosis was 100%,81 cases of lung cancer patients was diagnosed,the puncture pathologic diagnosis rata was 92%,11 cases was benign lesion.Conclusion CT guided percutaneous lung biopsy by biopsy gun combined with trocar of biopsy is a safe and reliable method of diagnosising pulmonary peripheral solids lesions,especially suitable for pulmonary peripheral solids lesions aroung the thoracic wall.

关 键 词：肺活检 活检枪 CT引导经皮肺活检 套管针 肺周围性病变 

分 类 号：R563[医药卫生—呼吸系统]