CT引导下经皮肺穿刺活检对肺周围性病变诊断价值  

Pathological analysis of CT-guided percutaneous needle biopsy of lung

作　　者：张帅[1] 王维刚 

机构地区：[1]首都医科大学潞河教学医院呼吸内科,北京101149 [2]邯郸钢铁集团公司职工医院西院内科,河北邯郸056003

出　　处：《临床肺科杂志》2012年第12期2150-2151,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨CT引导下经皮肺穿刺活检对肺部周围性病变诊断价值。方法 83例患者行气管镜和CT引导下经皮肺穿刺活检,进行病理分析。结果 83例患者经气管镜检查获取病理或病原学共11例(13.25%)。CT引导下经皮肺穿刺活检病理:肿瘤性病变共44例(53.01%),非肿瘤性病变19例(22.89%),病理描述18例(21.69%),无意义描述2例(2.41%)。结论对于肺部周围性病变,CT引导下经皮肺穿刺活检作为一项简单、微创、并发症低一项检查可大大提高诊断率,并可发现少见性疾病。Objective To explore the diagnostic value of CT-guided percutaneous needle biopsy of lung in pulmonary peripheral occupying lesions. Methods 83 patients were treated by bronchofiberscopy and CT-guided percutaneous needle biopsy of lung. Results 11 cases of their pathology or etiological agent were found by bronchofiberscopy. However, 44 cases of tumor lesions, 19 cases of non- neoplastic lesions and 18 cases of descriptive pathological were detected by CT-guided percutaneous needle biopsy of lung. Only 2 cases were diagnosed without any clinical significance. Conclusions CT-guided percutaneous needle biopsy of lung is an effective approach to diagnose peripheral pulmonary lesions.

关 键 词：肺部周围性病变 经皮肺穿刺活检 病理诊断 

分 类 号：R814.42[医药卫生—影像医学与核医学]