CT引导下经皮肺穿刺活检术在肺周围型占位中的应用体会  

The diagnostics value of CT-guided percutaneous lung biopsy in pulmonary peripheral lesions

作　　者：周云春[1] 王四明[2] 蔡远玲[1] 

机构地区：[1]云南省玉溪市人民医院呼吸科,653100 [2]云南省玉溪市人民医院肿瘤科,653100

出　　处：《中国老年保健医学》2015年第2期118-119,共2页Chinese Journal of Geriatric Care

摘　　要：目的探讨CT引导下经皮肺穿刺活检术在肺周围型占位中的诊断价值。方法收集经胸部CT确定为肺周围型占位,并行CT引导下经皮肺穿刺活检术的患者70例临床资料。结果穿刺成功率100%,诊断准确率91.4%(64/70),并发症发生率22.9%(16/70);其中少量气胸14例,痰中带血2例,均未作特殊处理。结论 CT引导下经皮肺穿刺活检术是一种微创、安全、诊断率高、并发症少的检查手段,对周围型肺部占位病变具有较高的诊断价值。Objectives To investigate the diagnostics Value of CT-guided percutaneous lung biopsy in pulmonary peripheral le-sions.Methods Clinical date of 35 patients who were confirmed as pulmonary peripheral lesions by CT scan and performed CT-guided percutaneous lung biopsy were retrospectively analyzed.Results Accuracy rate of diagnosis was 91.4%（32/35）, and inci-dence of complication was 22.9%.pneumothorax occurred in 7 cases, and blood in phlegm occurred in 1 case.Conclusions CT-guided percutaneous lung biopsy is a minimally invasive, relative safe and accurate way in diagnosis of pulmonary peripheral lesions.

关 键 词：CT引导 穿刺 肺周围型病变 

分 类 号：R734.2[医药卫生—肿瘤]