CT扫描经皮肺穿刺活检术在疑似肺癌患者诊断中的应用  

Application of percutaneous lung biopsy undeRCT-scan in diagnosis of suspected lung cancer

作　　者：刘飞[1] 赵文英 郑庆芳[3] 陈小雪 LIU Fei;ZHAO Wenying;ZHENG Qingfang;CHEN Xiaoxue(Department of Oncology,Chizhou Second People′s Hospital,Chizhou 247000,China)

机构地区：[1]池州市第二人民医院肿瘤内科,安徽池州247000 [2]皖南医学院第一附属医院弋矶山医院肿瘤内科,安徽芜湖241001 [3]池州市第二人民医院呼吸内科,安徽池州247000

出　　处：《皖南医学院学报》2020年第1期43-45,共3页Journal of Wannan Medical College

基　　金：安徽省自然科学基金项目(1708085MH202)。

摘　　要：目的:探讨CT扫描经皮肺穿刺活检术在疑似肺癌患者诊断中的应用价值。方法:选择43例疑似肺癌患者,CT多次扫描,采用弹枪式活检枪行经皮肺穿刺活检术。观察指标:活检取材成功率、组织标本肺癌诊断准确率、术后并发症发生率以及引起并发症相关因素分析。结果:所有患者穿刺活检取材成功率为100%。32例诊断为肺癌,后期随访确诊肺癌2例,肺癌诊断准确率为94.12%(32/34)。气胸发生率为16.28%(7/43);出血11.63%(5/43),其中肺内出血2例,咯血3例。发生气胸、出血等并发症与病灶大小、进针深度及进针次数等相关(P<0.05)。结论:CT扫描经皮肺穿刺活检术对肺癌的诊治具有重要的应用价值,其操作简单、诊断精准、安全可控,值得推荐。Objective:To assess the value of percutaneous lung biopsy undeRCT-scanning.Methods:Forty-three patients with suspected lung canceRwere included,and underwent repeated CT-scans and percutaneous lung biopsy with a spring biopsy gun.Observation index consisted of successful biopsy,accuracy rate of tissue specimen diagnosis,incidence of postoperative complications and related factors resulting in the complications.Results:Biopsy was 100%success in all patients,and suggestive of lung canceRin 32.AnotheRtwo patients were diagnosed as lung canceRin follow-up.The diagnostic accuracy rate of lung canceRwas 94.12%9(32/34).The incidence of pneumothorax and bleeding was 16.28%(7/43)and 11.63%(5/43),respectively.Bleeding in the lungs occurred in 2 cases,and hemoptysis in 3.Incidence of pneumothorax and bleeding was associated with the size of lesion,depth of biopsy needle and frequencies of biopsies(P<0.05).Conclusion:Percutaneous lung biopsy via CT-scanning is worthy of recommendation because of its clinical value,including easy performance,accurate diagnosis and safety.

关 键 词：CT扫描 经皮肺穿刺活检术 疑似肺癌 诊断 

分 类 号：R734.2[医药卫生—肿瘤] R730.4[医药卫生—临床医学]