CT引导下经皮穿刺活体组织检查术在胸部病变诊断中的应用价值  

Application Value of CT-Guided Percutaneous Puncture Biopsy for the Diagnosis of Chest Lesions

作　　者：徐玮[1] 姚明荣[1] 耿坚[1] 詹松华[1] 

机构地区：[1]上海中医药大学附属曙光医院放射科,上海201203

出　　处：《中国临床医学》2014年第2期179-181,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨CT引导下经皮穿刺活体组织检查术(活检术)在胸部病变诊断中的应用价值。方法:回顾分析48例行CT引导下胸部经皮穿刺活检术患者的CT引导定位方法、穿刺取材法。比较穿刺活检术病理结果和术后病理结果,分析CT引导下经皮穿刺活检术对胸部病变的诊断价值。结果:48例行CT引导下经皮穿刺活检术的患者成功穿刺取材47例,失败1例;成功穿刺的47例患者中经组织病理学确诊44例。CT引导下经皮穿刺活检术诊断胸部病变的敏感度为91.2%,特异度为100%。并发气胸9例,并发肺出血3例,并发穿刺后咯血痰2例。结论:CT引导下经皮穿刺活检术在胸部病变诊断中具有重要的临床应用价值。Objective：To evaluate the application value of CT-guided percutaneous puncture biopsy for the diagnosis of chest lesions. Methods：The data of 48 cases who received CT-guided percutaneous puncture biopsy were retrospectively analyzed. Results： CT-guided percutaneous puncture biopsy was successfully performed in 47 cases, while one case failed. Diagnosis was confirmed in 44 of the 47 successfully puctured cases. The sensitivity and specificity of CT-guided percutaneous puncture biopsy were 91.2%, 100% in diagnosing chest lesions. There were 9 cases accompanied by pneumothorax, 3 cases accompanied by pneumorrhagia, 2 cases accompanied by haemoptysis sputum. Conclusions： CT-guided percutaneous puncture biopsy is of great value for the diagnosis of chest lesions.

关 键 词：体层摄影术 穿刺活检 胸部病变 

分 类 号：R817.4[医药卫生—影像医学与核医学]