MSCT引导下经皮肺穿刺活检肺外周孤立病灶诊断价值

目的 探讨MSCT导向下经皮肺穿刺活检肺外周孤立病灶的性质及对诊断的应用价值。方法 经MSCT检查肺外周孤立性病灶56例，穿刺取到理想标本86块，均做组织学及细胞学检查，病灶直径1．2～5．3cm。结果 56例中恶性34例，良性17例，不能定性5例，并发气胸3例。结论 MSCT引导下经皮肺穿刺活检对肺外周孤立性病灶的定性准确，并发症少，对确定病灶的临床诊断及指导治疗具有重要价值。

MSCT guided needling in Peripheral solitary pulmonary lesions and its clinical value

Objective:To evaluate the value of MSCT guided needling biopsy in the diagnosis of poriph eral solitary pulmonary lesions.Methods:56 peripheral solitray pulmonary lesions were selected,and 86 ideal samples were got,then cgtologial and histological diagnosis were performed.Results:34 cases were malignant,17 were benign,5 did not have sufficient cells for diagnosis.Conclusion:MSCT guided needling biopsy can play a significant eole in the clinical dingnosis of peripheral solitary pulmonary lesions,it is accurate in qualitative analysis,and has less complication.