螺旋CT导引下经皮肺穿刺活检的临床应用

目的对怖部病变尤其是周围性占位病灶进行诊断鉴别诊断。方法18例肺部病变在螺旋CT导引下进行穿刺取组织进行病理检查。结果18例均穿刺成功，确诊肺癌9例．肺结核7例，炎性假瘤1例．胸膜问皮瘤1例。结论螺旋CT导引啼穿刺取组织进行病检，进针深度及进针角度清楚，方法简易行．创伤小，诊断准确率高。对于怖部孤立性病变的鉴别诊断．尤其是怀疑肺癌时，或者病变位于怖周围区、胸膜肥厚性病变伴肺内实变的定性诊断．支气管镜检无能为力．而临床及影像诊断又有困难．往往要借助于病理诊断。我们对18例肺部病变患者行螺旋CT导引下怖穿刺活检，方法简单．刨伤小，准确性高。

The clinical application of percutaneous pun spiral CTure technique on pulmonoarg biopsy by spiral CT - guidel

Objective Diagnosis and distin spiral CTive biagmesis about Pulmonary pathology especially occupying lesion. Methods Eighteen pulmonary pathology is pun spiral CTured biopsy under spiral CT-guided. Results All to the eishteen pun spiral CTure is succestul,including nine carcinoma to the tung;ceven pulmonary tuberclosis;one inflammatory psendotunor and one pleura mesothelioma. Conclusion Nith spiral CT-guideel pun spiral CTure for pulmonary biopsy is a good way.It is little wound and effe spiral CTive dingnosis;nhile the depthand the angle of the needle is very clear.The way is used to occupying lesion distin spiral CTive din=gnosis;especially it is suspe spiral CTed carcinoma of the tung or pleura pachynsis with pulmonary consolidation diagmosis;and that bronchoscopy is unable and clinical image diagmosis is very ifficult.So,we cam resort to pathology diagnosis.We use the spiral CT-guided for the tung pun spiral CTure diagnosis to the eithteen patients who have pulmonary pathology.The way is simple antl accurately with less wound.