53例CT引导下经皮肺穿刺活检临床分析  

Clinical analysis of 53 cases of CT-guided percutaneous lung biopsy

作　　者：颜瑾[1] 周琪卉 宁雅静[1] 韩晓燕[1] 王瑞[1] 姜雪勤[1] 江子丰[1] 王炯[1] 

机构地区：[1]安徽医科大学呼吸病研究所,安徽医科大学第一附属医院老年呼吸科,安徽合肥230022

出　　处：《临床肺科杂志》2016年第10期1814-1816,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨CT引导下经皮肺穿刺活检对肺部占位性病变的诊断价值和安全性。方法回顾性分析我科行CT引导下经皮肺穿刺活检术53例肺部占位性病变的患者的术后资料。结果 53例患者中明确诊断46例,诊断率为86.8%,诊断准确率为97.8%。其中恶性病变34例(腺癌17例,鳞癌14例,小细胞癌1例,神经鞘瘤1例,胸腺恶性肿瘤1例);良性疾病12例(炎性包块4例,结核3例,矽肺2例,肺炎2例,炎性假瘤1例)。6例并发症中中-少量气胸4例(7.5%),咯血2例(3.8%)。结果 CT引导下经皮肺穿刺活检术定位准确,操作简单,创伤小,并发症少,确诊率高,是肺部占位性病变安全可靠的确诊手段。Objective To discuss the diagnostic value and safety of CT-guided percutaneous lung biopsy in lung space-occupying lesions. Methods A retrospective study was undertaken comprising the outcomes of CT-guided percutaneous lung biopsy for 53 patients with pulmonary space-occupying lesions. Results 46 of the 53 cases were diagnosed by pathology together with immunohistochemistry,and the diagnosis rate was 86. 8% and the accuracy was97. 8%. There were 34 cases of malignant lesions,included 17 cases of adenocarcinoma,14 cases of squamous carcionma,1 case of small cell carcionma,1 case of neurilemmoma and 1 case of thymic carcinoma. 12 cases of benign lesions included 4 cases of inflammatory mass,3 cases of tuberculosis,2 cases of pneumoconiosis,2 cases of pneumonia and 1 case of inflammatory pseudotumor. In terms of complications,slight to mild pneumothorax was detected in 4 patients（ 7. 5%） and slight haemoptysis occured in 2 patients（ 3. 8%）. Conclusion CT-guided percutaneous lung biopsy is a safe,fast and accurate method for diagnosis of lung space-occupying lesions.

关 键 词：CT引导下肺穿刺活检 占位性病变 诊断 并发症 

分 类 号：R734.2[医药卫生—肿瘤] R730.44[医药卫生—临床医学]