CT引导下经皮肺活检对肺硬化性血管瘤诊治意义  

Significance of CT guided percutaneous lung biopsy in diagnosis and treatment of pulmonary sclerosing hemangioma

作　　者：郑伟[1] 何闯[1] 邓怀志[2] 方宏洋[1] 刘云[3] 黄学全[4] 

机构地区：[1]解放军452医院医学影像科,成都610021 [2]四川省仪陇县人民医院放射科 [3]解放军452医院核医学科,成都610021 [4]第三军医大学西南医院放射科

出　　处：《西南国防医药》2013年第7期739-741,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨CT引导下经皮肺穿刺活检对肺硬化性血管瘤术前诊断价值及临床意义。方法收集30例CT引导下经皮肺穿刺活检病理确诊肺硬化性血管瘤患者的临床、影像学资料进行回顾性分析。结果位于右肺18例,左肺12例;无症状者15例,术前确诊1例。仅4例行纤维支气管镜检查结果为阴性。30例均行CT引导下经皮肺穿刺活检并确诊,无一例并发气胸,针道周围少量渗血6例,实施手术切除治疗18例。结论肺硬化性血管瘤的临床及影像学表现无特异性,术前易误诊,CT引导下经皮肺活检术对该病的确诊率高,并发症低,可为其手术方案实施和预后评估提供重要依据。Objective To explore the value and clinical significance of CT guided percutaneous lung biopsy in diagnosis and treatment of pulmonary sclerosing hemangioma（PSH）.Methods A retrospective analysis of clinical and imaging data was made in 30 cases which received the CT guided percutaneous lung biopsy and were diagnosed as PSH.Results Eighteen cases located in the right lung,and 12 ones located in the left lung.Fifteen cases were asymptomatic.One case was diagnosed as PSH before the operation.Only 4 cases were negative in the examination by fiberoptic bronchoscopy.All the cases were definitely diagnosed by computed tomographyguided percutaneous lung biopsy.The complication of pneumothorax did not occur.A few capillary hemorrhage around the needle way occurred in 6 cases.Surgical resection was performed in 18 cases.Conclusion The clinical and imaging manifestations of PSH are nonspecific.Misdiagnosis may easily occur before the operation.The diagnosis rate of computed tomography-guided percutaneous lung biopsy is high.This method has lower incidence of complication,which can provide important basis for the implementation of operation scheme and prognosis assessment.

关 键 词：肺硬化性血管瘤 CT引导 肺穿刺 诊断 

分 类 号：R56[医药卫生—呼吸系统]