多层螺旋CT导引下经皮穿刺活检胸部病变  

MULTI-SLICE-CT-GUIDED PERCUTANEOUS BIOPSY OF THORACIC LESIONS

作　　者：唐学东[1] 刘增胜[1] 吴子新[1] 栾念旭[2] 常宏[3] 陈祥民[1] 

机构地区：[1]青岛市市立医院放射科,山东青岛2660111 [2]青岛市市立医院呼吸科,山东青岛2660111 [3]青岛市市立医院病理科,山东青岛2660111

出　　处：《青岛大学医学院学报》2011年第3期240-241,244,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨多层螺旋CT(MSCT)导引下经皮穿刺活检胸部病变的技巧及临床价值。方法回顾性分析我院211例在MSCT导引下经皮穿刺活检胸部病变的临床资料。结果穿刺成功率为100%,211例病人均做出病理学诊断。穿刺活检的诊断正确率为93.8%(198/211),假阴性率6.2%,无假阳性发现。恶性病变163例(77.3%),良性病变48例(22.7%)。穿刺引发气胸23例(10.9%),出现痰血10例(4.7%)。结论在MSCT导引下的经皮穿刺活检胸部病变技术,对病人损伤小,并发症少,确诊率高,值得推广使用。Objective To assess the skills and clinical values of multi-slice CT（MSCT）-guided percutaneous biopsy of thoracic lesions.Methods Clinical data of 211 patients who received percutaneous biopsy guided by MSCT for thoracic lesions were analyzed retrospectively.Results The puncture success rate was 100%,pathologic diagnosis was done in all cases,with the accurate rate of 93.8%（198/211）,false negative rate of 6.2% and no false positive was noted.Of the lesions examined,163 were malignant（77.3%） and 48 benign（22.7%）.Biopsy-induced pneumothorax occurred in 23 cases（10.9%）,hemoptysis in 10（4.7%）.Conclusion The procedure of MSCT-guided percutaneous biopsy of thoracic lesions is mild-damaged,less-complication,with a high rate of final diagnosis,this technique is worth recommendation.

关 键 词：体层摄影术 X线计算机 活组织检查 胸部疾病 

分 类 号：R814.42[医药卫生—影像医学与核医学]