CT引导经皮肺穿刺活检术在肺部肿物中的临床应用  

Clinical application of CT-guided percutaneous lung biopsy

作　　者：谢强[1] 林江平[1] 陈群[1] 石琴[1] 王成辉[1] 李育宏[1] 

机构地区：[1]福建医科大学教学医院福州肺科医院肿瘤科,福建福州350008

出　　处：《临床肺科杂志》2011年第8期1202-1203,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨CT引导经皮肺穿刺活检术对肺部肿物的诊断价值。方法采用CT引导经皮肺穿刺活检术197例肺部肿物进行穿刺活检,病灶直径2～10 cm(平均4.2 cm),病灶距胸膜深度0～8cm(平均3.4 cm)。结果诊断恶性病变133例,良性病变(炎症、结核、结节病)54例,诊断率94.9%(187/197),病理不能确诊10例,其中6例手术确诊为肺鳞癌,4例随访2年无变化。术后并发症气胸28例,胸腔出血2例,咯血6例。结论 CT引导经皮肺活检术是一种安全、诊断率高的诊断方法,尤其适用于距离胸膜较近病灶。Objective To explore the diagnostic value of CT-guided percutaneous lung biopsy for pulmonary soid lesions.Methods CT-guided percutaneous lung biopsy was performed in 197 cases of pulmonary soid lesions.The lesions were 2~10 cm（mean：4.2 cm） in diameter,and the distance to the pleura was 0~8 cm（mean：3.4 cm）.Results Confirmative diagnostic rate was 94.9%（187/197）.The biopsy could not indicate the accurate diagnosis in 10 cases,6 of which were identified as having squamous cell carcimoma by operation,and 4 of which was followed for 2 year with no change.Post operative complications included 28 cases of pneum othorax,2 cases of hem othorax,and 6 cases of emptysis.Conclusions CT-guided percutaneous lung biopsy is safe,which offers a high diagnostic rate especially for lesions near the pleura.

关 键 词：CT引导 肺活检术 

分 类 号：R814.42[医药卫生—影像医学与核医学]