数字减影血管造影导向肺穿刺活检对肺周围性病变的应用价值  

Application of DSA guidance in performing percutaneous fine needle biopsy of surrounding lung lesions

作　　者：李岳勇[1] 韦忠恒[1] 陆建勋[1] 罗彪[1] 张倬彬[1] 

机构地区：[1]右江民族医学院附属医院肿瘤科,广西百色533000

出　　处：《右江医学》2012年第4期478-480,F0004,共4页Chinese Youjiang Medical Journal

摘　　要：目的评价数字减影血管造影(digital subtraction angiography,DSA)导向经皮肺周围型病变穿刺活检的临床应用价值。方法在DSA导向下,对57例周围型肺部包块的患者进行穿刺活检,取活检组织标本行细胞学及抗酸染色检查。结果本组有4例病例因难以配合而终止穿刺,其余53例患者成功取材,穿刺成功率为92.98%(53/57)。51例肺穿刺患者一次作出定性诊断,阳性诊断率为96.23%(51/53)。另2例行二次肺穿术明确诊断。术后并发气胸2例,少量痰中带血1例,并发症发生率为5.67%(3/53)。结论 DSA导向肺穿刺活检定位准确,并发症少,在诊断周围型肺内占位性病变中具有较高的临床应用价值。Objective To evaluate the clinical application of DSA（digital subtraction angiography） guidance in performing percutaneous fine needle biopsy of surrounding lung lesions. Methods Under the guidance of DSA,57 pa- tients with surrounding lung lesions underwent percutaneous fine needle biopsy. Biopsy tissue samples were taken to give cytological and acid-fast stain examination. Results 4 patients could not stand biopsy and gave up. A total of 53 patients successfully underwent biopsy and the success rate was 92.98% （53/57）. 51 cases got definite diagnosis and the positive rate was 90.8%（51/53）. The other two cases got definite diagnosis in the second biopsy. 2 patients suf- fered pneumothorax and one had bloody sputum,so the complication rate was 5.6 %. Conclusion DSA-guided lung bi- opsy is accurate in localization with fewer complications. It has great value of clinical application in the diagnosis of surrounding pulmonary space occupying lesions.

关 键 词：活检 数字减影血管造影 细胞学检查 并发症 

分 类 号：R563.9[医药卫生—呼吸系统]