CT引导下纵膈旁肺占位性病变经皮肺穿刺活检术的临床应用  

Clinical Application of CT-Guided Percutaneous Lung Biopsy of Parapharyngeal Space-Occupying Lesions

作　　者：周春献[1] 张刚[1] 董达[1] 

机构地区：[1]南通大学附属吴江医院影像科,江苏吴江215200

出　　处：《世界复合医学》2016年第4期66-68,共3页World Journal of Complex Medicine

摘　　要：目的探讨CT引导下纵膈旁肺占位性病变经皮肺穿刺活检术的可行性和技术方法。方法回顾性分析了2014年10月—2016年8月间该院收治的19例纵隔旁肺占位性病变的CT导引下经皮肺穿刺活检术的病例资料,分析穿刺技术要点,观察穿刺成功率及并发症情况。结果 19例行经皮肺穿刺活检术的病例均顺利取出病理组织,穿刺成功率100%,术后出现肺内出血11例(57.9%),咯血1例(5.3%),血气胸1例(5.3%),气胸1例(5.3%),没有出现纵隔内脏器和组织损伤的严重并发症。结论纵膈旁肺占位性病变的经皮肺穿刺活检术是相对可靠、安全的定性方法。Objective To study the feasibility and technique of CT-guided percutaneous transthoracic needle biopsy of mediastinal space-occupying lesions.Methods The clinical data of 19 cases of percutaneous lung biopsy under CT guidance were analyzed retro-spectively from October 2014 to August 2016,and the puncture technique was analyzed.Rate and complications.Results All the 19 patients underwent percutaneous lung biopsy were successfully removed.The success rate of puncture was 100%.11 cases（57.9%）were pulmonary hemorrhage,1 case（5.3%） hemoptysis,1 case 5.3%） And pneumothorax（5.3%）.There was no serious complication of mediastinal organ and tissue injury.Conclusion Percutaneous needle aspiration biopsy of mediastinal space occupying lesion is a reli-able and safe method.

关 键 词：CT引导 纵膈旁肺占位性病变 经皮肺穿刺活检术 

分 类 号：R687.3[医药卫生—骨科学]