CT引导下经皮肺穿刺活检在肺部肿块诊断中的价值  

Value of CT-guided Percutaneous Lung Biopsy in the Diagnosis of Pulmonary Masses

作　　者：李顺长[1] 陈雄钊 刘流[1] LI Shunchang;CHEN Xiongzhao;LIU Liu(Special Inspection Department of Jiangmen Third People's Hospital,Jiangmen,529300;Department of Radiology,Heshan People's Hospital in Jiangmen,Jiangmen,529700)

机构地区：[1]江门市第三人民医院特检科,江门529300 [2]江门市鹤山人民医院放射科,江门529700

出　　处：《生物医学工程学进展》2019年第4期214-216,共3页Progress in Biomedical Engineering

基　　金：江门市科技计划项目(2019020400590003224)

摘　　要：目的应用CT引导下经皮肺穿刺活检诊断肺部肿块的价值。方法选取84例肺部肿块患者进行研究,所有患者均行CT引导下经皮肺穿刺活检,并经手术病理学确诊,评价其诊断价值。结果84例患者经病理组织学确诊80例,诊断准确率为95.24%,恶性病变72例,其中腺癌20例,鳞癌41例,小细胞癌11例,良性病变8例,其中结核3例,炎症5例,均经手术病理结果证实。CT引导下经皮肺穿刺活检诊断符合率为95.24%(80/84),与手术病理结果相比,差异不显著(P>0.05),具有较高一致性;敏感性为97.30%(72/74),特异度为80.00%(8/10);本组84例患者均一次性穿刺成功,穿刺成功率为100.00%,发生气胸2例,咳血3例,穿刺部位出血3例,并发症率为10.00%(10/80)。结论对肺部肿块患者而言,实施CT引导下经皮肺穿刺活检效果理想,具有较高穿刺成功率,可减少对患者的创伤,提升诊断准确率,值得应用及推广。Objective To evaluate the diagnostic value of CT-guided percutaneous lung biopsy in the diagnosis of pulmonary masses.Methods 84 patients with pulmonary masses were selected for the study.All patients underwent CT-guided percutaneous lung biopsy and the symptoms were confirmed by surgery and pathology to evaluate the diagnostic value.Results Eighty cases of 84 patients were confirmed by histopathology and the diagnostic accuracy was 95.24%.There were 72 cases of malignant lesions,including 20 cases of adenocarcinoma,41 cases of squamous cell carcinoma,11 cases of small cell carcinoma and 8 cases of benign lesions,including 3 cases of tuberculosis and 5 cases of inflammation,which were confirmed by operation and pathology.Compared with the results of surgical pathology,the diagnostic coincidence rate of CT-guided percutaneous lung biopsy was 95.24%(80/84)and the difference was not significant(P>0.05),which indicated the consistency between two methods.Besides,the sensitivity of CT-guided percutaneous lung biopsy was 97.30%(72/74)and the specificity was 80.00%(8/10).All 84 patients were successful in one-time puncture,which suggested that the success rate of puncture was 100.00%.2 cases of chest,3 cases of hemoptysis and 3 cases of puncture site bleeding occurred after the operation,and the complication rate was 10.00%(10/80).Conclusion For patients with pulmonary masses,CT-guided percutaneous lung biopsy is effective and has a high success rate.It can reduce the trauma after surgery and improve the diagnostic accuracy,which is worthy of application and promotion.

关 键 词：CT引导 经皮肺穿刺活检 肺部肿块 诊断价值 

分 类 号：R445.2[医药卫生—影像医学与核医学]