螺旋CT引导下经皮肺活检术对肺部病变的诊断价值  

作　　者：胡桂珍 肖伟民 曾炳聪 黎洪芳 

机构地区：[1]广东省清远市清城区人民医院CT室,广东511500

出　　处：《当代医学》2013年第23期30-31,共2页Contemporary Medicine

摘　　要：目的探讨螺旋CT引导下经皮肺穿刺对肺部病变的诊断价值。方法 2009年3月-2012年7月间51例肺部病变患者在螺旋CT引导下应用巴德活检针(Bard Magnum Biopsy Needle)进行经皮肺穿刺活检术,所得组织行病理学检查,回顾性分析患者的检查结果。结果 51例患者穿刺54针次,穿刺成功率为98%,诊断准确率为94.1%。其中,恶性病变40例,良性病变10例。术后发生气胸3例,咯血3例。结论螺旋CT引导下经皮肺穿刺活检术可为肺部病变的定性诊断提供可靠的病理学依据,并具有安全、可靠、操作简单、准确率高、并发症少等特点,值得临床推广。Objective To evaluate the Helix CT-guided percutaneous lung biopsy in patients with lung diceases. Methods Retrospective analyzed features of percutaneous lung biopsy instrument under Helix CT-guided by Bard Magnum Biopsy Needles in 51 patiets. Results 51 patients were punctured for 54 tins, puncture snccess rate of 98%, accuracy 94.1%. 40 cases were malignant tumors confimed by needle biopsy and 10 cases were benign lesions. The main complications were pneumothoraxes and hemorrhage, pnumothorax 3 cases ,hemorrhage 3 cases. Conclusion The helix CT-guided lung punclure biopsy for lung lesious and provide areliable diagnosis of tumors. It is safety, credibility, simple operation, ligh nicety diagnosis, few complications.

关 键 词：螺旋CT 肺部病变 穿刺活检 

分 类 号：R816.4[医药卫生—放射医学]