CT引导下经皮肺活检在肺部肿块诊断中的应用

目的 探讨CT定位引导下经皮肺活检术在肺部肿块诊断中的应用价值.方法 应用德国OptiMed自动弹簧装载活检针,在螺旋CT定位引导下对101例不明原因的肺部肿块进行穿刺活检.结果:101例均穿刺成功,97例获得明确的病理诊断结果:肺癌61例、胸膜间皮瘤4例、转移癌10例、结核16例、炎性假瘤6例,确诊率96.0%;穿刺后3例有短时血痰、8例出现气胸(气胸范围5%～15%),无其他严重并发症,并发症发生率10.9%.结论 CT定位引导下经皮肺穿刺活检可为肺部肿块的诊断与治疗提供可靠的组织学、病理学依据,是一种安全、有效、准确性高、并发症少的诊断方法.

The clinical application of CT-guide percutaneous biopsy in the pulmonary nodules

Objective To explore the diagnosis value of CT-guide percutaneous biopsy in the pulmonary nodules.Methods A total of 101 cases of the pulmonary nodules with unknown causes who underwent Germany-made auto-spring-gun spiral CT-guide percutaneous pulmonary biopsy were studied.Results The accuracy of centesis was 100%.97 cases were succeeded in getting diagnosis,the diagnosis rate was 96.0%.Among them,there were 61 cases of lung cancer,4 cases of malignant pleural mesothelioma,10 cases of metastatic carcinoma,16 cases of tuberculosis,6 cases of inflammatory pseudotumor.Pneumothorax occurred in 8 cases,hemoptysis occurred in 3 cases.The rate of complication was 10.9%.Conclusion CT-guide percutaneous biopsy to the pulmonary nodules is a safe and effective diagnostic means,which has a high diagnosis raze with few complication.