螺旋CT导向下在肺部穿刺活检的临床探讨

目的 探讨螺旋CT导向下在肺部穿刺活检的临床应用价值。方法 搜集我院在螺旋CT导向下肺部穿刺活检并经病理证实的65个病例共穿刺68个病灶及临床随访资料作回顾性分析。结果 68个病灶穿刺72针次，穿刺成功率100％，获得正确诊断率93．8％（61例）。其中鳞癌28例，腺癌20例，胸膜间皮瘤3例．炎性假瘤3例，肺结核瘤4例，原发病灶不明确的转移瘤4例，恶性淋巴瘤1例。并发症主要为气胸和出血，气胸发生率6．1％，出血发生率为12．3％。结论 螺旋CT导向下肺部穿刺活检术属微创性技术，具有安全、可靠、有效，成功率高，诊断准确，并发症少，操作简单等特点，值得临床推广。

Clinical Application of Helix CT Guided Puncture Biopsy of the Lung

Objective To discuss the application of helix CT guided puncture biopsy of the Lung. Methods The data of 68 focuses of 65 patients,who have been approved by the pathology, and received helix CT puncture biopsy of the Lung, were analyzed retrospectively. Results The success rate of the puncture is 100% ,the correct diagnosis rate was 93.8%. Among them,28 cases were squamous carcinoma,20 cases were adenocarcinoma,3 cases were mesothelioma of pleura,3 cases were inflammatory pseud- otumor,4 cases were tuberculoma of lung,4 cases were carcinoma of metastasls,which can not find the original focus. 1 case was malignant lymphoma. The main complications were pneumothorax and hemorrhage, the rate of pneumothorax was 6. 1% and the rate of hemorrhage was 12.3%. Conclusions The helix CT guided lung puncture biopsy is small hurt. It is safety,credibility,ef- ficiency,high success rate,nicety diagnosis ,few complications and simple operation.