CT引导下经皮肺穿刺活检的临床应用价值

目的:探讨CT引导下经皮肺穿刺活检的临床应用价值。方法:回顾112例CT引导下经皮肺穿刺活检术的患者,经病理诊断证实94例。结果:94例患者中与病理检查相吻合的肺癌86例,穿刺确诊78例,8例为良性病变。诊断灵敏度90.7%,特异度100%,诊断准确率91.5%,并发气胸8.9%,肺内出血10.7%,均自行吸收,未需特别处理。结论:CT引导下经皮肺穿刺活检是一种安全、准确的诊断和鉴别诊断肺内病变的方法,具有较高的临床应用价值。

Clinical Value of CT-Guided Percutaneous Transthoracic Needle Aspiration Biopsy

Objective: To evaluate the clinical value of CT-guided percutaneous transthoracic needle aspiration biopsy.Method: Retrospectly study on 112 patients undergoing CT-guided percutaneous transthoracic needle aspiration biopsy,94 of which were diagnosed by pathology.Result: 86 out of 94 patients were proved malignant lung cancer,among which 78 cases were through CT-guided percutaneous transthoracic needle aspiration.The other 8 of 94 patients were proved benign.The diagnositic sensitivity,specificity and accuracy went up to,respectively,90.7%,100% and 91.5%.The incidence percentage of pneumothroax and hemorrhage were 8.9% and 10.7%.Conclusion: CT-guided percutaneous transthoracic needle aspiration biopsy is a safe and accurate method in the diagnosis and differential diagnosis of lung mass,which enjoys high clinical value.