CT引导下经皮肺穿刺活检在诊断不明肺部肿块中的应用  

Application of CT guided percutaneous lung biopsy in the diagnosis of unexplained pulmonary mass

作　　者：植华德 何德荣 谢保东 

机构地区：[1]北流市人民医院肿瘤胸外科,广西北流537400

出　　处：《华夏医学》2012年第3期332-334,共3页Acta Medicinae Sinica

摘　　要：目的:探讨CT引导下经皮肺穿刺活检在诊断不明肺部肿块的临床应用价值。方法:CT引导下,经皮肺穿刺活检术取得组织标本,进行组织病理学诊断,分析该方法诊断肺部肿块的准确性及并发症的发生率。结果:126例患者中123例(97.6%)获得活体组织标本,病理组织学明确诊断为恶性病变111例(阳性率90.2%);3例未能确诊;18例(14.3%)出现并发症,其中3例较为严重并需要处理。结论:CT引导下经皮肺穿刺活检是一种有效、微创和较为安全的检查方法。Objective： To explore the clinical application value of CT guided percutaneous lung biopsy in the diagnosis of unexplained pulmonary mass. Methods： To obtain tissue specimens by CT guided percutaneous lung puncture biopsy,make histopathological diagnosis and analyze accuracy of the method in the diagnosis of pulmonary mass and complication rate. Results： 123 biopsy specimens were obtained from 126 patients （97. 6%）, 111 cases were diagnosed as malignant lesions （positive rate 90.2%） by histopathological diagnosis; 3 cases failed to confirm the diagnosis; 18 cases （14.3%） had complications, including 3 cases which were serious and needed treatment. Conclusion： CT guided percutaneous lung biopsy is an effective, minimally invasive and safer inspection method.

关 键 词：CT引导 经皮肺穿刺 活检 肺部肿块 

分 类 号：R814.42[医药卫生—影像医学与核医学]