CT引导下经皮穿刺同轴活检术在肺部病变诊断中的应用  

Application of CT-guided percutaneous coaxial biopsy in diagnosis of pulmonary lesions

作　　者：沈健[1] 陈珑[1] 倪才方[1] 刘一之[1] 金泳海[1] 朱晓黎[1] 邹建伟[1] 李波[1] 

机构地区：[1]苏州大学附属第一医院介入科,江苏苏州215006

出　　处：《实用放射学杂志》2014年第1期108-110,共3页Journal of Practical Radiology

基　　金：江苏省社会发展基金项目（BL2012049）.

摘　　要：目的评价经皮穿刺同轴活检术在肺部病变诊断中的穿刺成功率，诊断正确率及安全性。方法在CT引导下采用经皮穿刺同轴活检技术对192例肺部病变进行活检。结果192例肺活检全部穿刺成功，穿刺成功率为100％。病理诊断恶性肿瘤162例，良性病变30例。气胸和出血的发生率分别为10．9％和7．8％，仅1例出现皮下气肿。无活检相关严重并发症发生。结论经皮穿刺同轴活检术诊断肺部病变简便、准确、安全．值得临床推广应用。Objective To evaluate the success rate, diagnostic accuracy and safety of percutaneous coaxial biopsy in diagnosis of pulmonary lesions. Methods CT-guided pereutaneous coaxial biopsy was performed in 192 patients with pulmonary lesions. Results A total of 192 percutaneous coaxial biopsies were performed successfully with a 100% success rate. According to the pathological results, pulmonary lesions were malignant in 162 and benign in 30. The incidence rates of pneumothorax and pulmonary haemor- rhage were 10.9~ and 7.8%, respectively, while the subcutaneous emphysema occurred in 1. No serious puncture-related compli- cations occurred in the study. Conclusion CT-guided percutaneous coaxial biopsy is a convenient, accurate and safe technique in di- agnosis of pulmonary lesions, and it is worth further promotion and application.

关 键 词：CT引导 活检 肺部病变 

分 类 号：R563[医药卫生—呼吸系统] R814.42[医药卫生—内科学]