CT引导下经皮肺穿刺活检的诊断意义及并发症分析  

Diagnostic significance of CT-guided percutaneous needle aspiration biopsy and analysis in complications

作　　者：叶蕴瑶[1] 王伟成 孙光志[2] 肖蔚[3] 张思慧[1] 韩高华[1] YE Yunyao;WANG Weicheng;SUN Guangzhi;XIAO Wei;ZHANG Sihui;HAN Gaohua(Department of Oncology,Taizhou People′s Hospital of Jiangsu Province,Taizhou,Jiangsu,225300;Radiation Therapy Center,Taizhou People′s Hospital of Jiangsu Province,Taizhou,Jiangsu,225300;Department of Pathology,Taizhou People′s Hospital of Jiangsu Province,Taizhou,Jiangsu,225300)

机构地区：[1]江苏省泰州市人民医院肿瘤科,江苏泰州225300 [2]江苏省泰州市人民医院放疗中心,江苏泰州225300 [3]江苏省泰州市人民医院病理科,江苏泰州225300

出　　处：《实用临床医药杂志》2021年第13期72-75,80,共5页Journal of Clinical Medicine in Practice

摘　　要：目的分析CT引导下经皮肺穿刺活检(CT-PTNB)在肺部病变中的诊断意义及并发症发生情况。方法选取行CT-PTNB的51例患者为研究对象。记录和分析51例患者病理诊断率及术后并发症发生率。结果51例患者中,一次活检确诊48例,二次活检确诊2例,总确诊率为98.0%(50/51)。5例患者术后出现气胸,气胸的发生与患侧肺气肿、病灶最大径相关,差异有统计学意义(P<0.05)。12例患者术后出现肺野局部出血,其中2例患者术中出现少量咯血。出血的发生与高血压、病灶最大径、病灶深度相关,差异有统计学意义(P<0.05)。结论CT-PTNB对于肺部疾病特别是肺肿瘤的诊断及治疗具有重要意义,且其并发症发生率较低。Objective To analyze diagnostic significance of CT-guided percutaneous needle aspiration biopsy(CT-PTNB)and complications.Methods Fifty-one patients receiving CT-PTNB were selected as research objects.Pathological diagnosis rate and postoperative complication rate of 51 patients were recorded and analyzed.Results Among the 51 patients,48 cases were confirmed by one time biopsy and 2 cases were confirmed by second time biopsy,with a total diagnosis rate of 98.0%(50/51).Five patients developed pneumothorax after surgery,and the occurrence of pneumothorax was significantly related to affected side emphysema and lesion maximum diameter(P<0.05).Local hemorrhage in the lung field occurred in 12 cases after surgery,and a small amount of hemoptysis occurred in 2 cases during the operation.The occurrence of bleeding was significantly related to hypertension,lesion maximum diameter and lesion depth(P<0.05).Conclusion CT-PTNB is of great significance for the diagnosis and treatment of lung diseases,especially tumors,and its complication rate is low.

关 键 词：经皮肺穿刺活检 气胸 出血 并发症 肺部病变 病灶 

分 类 号：R734.2[医药卫生—肿瘤] R445[医药卫生—临床医学]