CT穿刺活检对纤维支气管镜检查阴性者的临床价值  

The clinical value of CT biopsy for patients with negative fiberoptic bronchoscopy

作　　者：赵晓莹 孙勇[1] 徐勇辉[1] 简远熙 ZHAO Xiaoying;SUN Yong;XU Yonghui;J IAN Yuanxi(Department of Radiology,the Second Affiliated Hospital op Kunming Medical University,Kunming 650010,China)

机构地区：[1]昆明医科大学第二附属医院放射科,云南昆明650010

出　　处：《实用放射学杂志》2019年第9期1484-1487,1496,共5页Journal of Practical Radiology

摘　　要：目的探究CT引导下肺穿刺活检术对经纤维支气管镜检查阴性患者的临床价值。方法回顾性分析46例经纤维支气管镜检查阴性后行CT引导下肺穿刺活检术患者的影像资料及穿刺记录。结果 CT引导下肺穿刺活检取材成功率100%,诊断准确率97.8%,并发症发生率47.8%,无严重并发症发生,并发症发生率与病灶大小,距胸膜距离,取材数及病灶良恶性无相关性。结论 CT引导下肺穿刺活检可以发现纤维支气管镜检查漏诊病例,对胸部CT表现复杂病例有重要的鉴别意义。Objective To explore the clinical value of CT-guided percutaneous lung biopsy for patients with negative fiberoptic bronchoscopy.Methods The imaging data and puncture records of 46 patients with negative fiberoptic bronchoscopy who underwent CT-guided biopsy were analyzed retrospectively. Results The successful rate of CT-guided percutaneous lung biopsy was 100%, the diagnostic accuracy was 97.8%, the complication rate was 47.8%, no serious complications occurred.The lesion size, the needle path length,the number of samples and the pathological nature of the lesions showed no significant effect on complication rate.Conclusion CT-guided percutaneous lung biopsy can detect the missed diagnosis of fiberoptic bronchoscopy,which is significant for differential diagnosis of complicated chest CT findings.

关 键 词：肺穿刺活检 计算机体层成像 肺部病变 纤维支气管镜 

分 类 号：R814.42[医药卫生—影像医学与核医学] R563[医药卫生—放射医学]