CT引导下经皮肺穿刺术的临床应用  

Clinical Application of Lung Biopsy through CT-guided Percutaneous Paracentesis

作　　者：张彩霞[1] 程颖[1] 

机构地区：[1]吉林省肿瘤医院,吉林长春130012

出　　处：《中国医药指南》2011年第26期36-37,共2页Guide of China Medicine

摘　　要：目的对CT引导下经皮肺穿刺术用于肺占位性病变诊断的意义进行探讨,为今后临床上利用该技术进行治疗提供可靠依据。方法随机抽取2008年12月至2010年12月这期间,在吉林省肿瘤医院就诊的在CT导向下接受经皮肺穿刺细胞学检查的患者病例75例,对其病例资料进行全面分析。结果 75例行肺穿刺术患者,经脱落细胞学检查证实48例为原发性肺癌,8例为炎症,19例未能明确诊断,诊断率为74.7%。术后10例出现气胸,8例行胸腔闭式引流,2例少量气胸,未给予特殊处置,4例出现血丝痰,均未做特殊处理。结论 CT导向经皮肺穿刺细胞学检查是比较安全、实用的技术,可以在有条件的医院广泛应用。Objective To explore the significance of lung biopsy through CT-guided percutaneous paracentesis in the diagnosis of space-occupying lesions of the lung. Methods 75 patients with space-occupying lesions of the lung underwent lung biopsy through CT-guided peracentesis. Results The 75 patients, 48 were confirmed by pathological examination to suffer from primary malignant tumor, 8 from inflammatory, no definite diagnosis was made in 19 patients. The diagnosis rate was 74.7%. Conclusion Lung biopsy through CT-guide percutaneous paracentesis is a safe and practical technique and may be widely used in hospital permit.

关 键 词：肺肿瘤 穿刺 计算机体层摄影 

分 类 号：R734.2[医药卫生—肿瘤]