CT引导下经皮肺穿刺活检术临床应用分析

目的探讨CT引导下经皮肺穿刺活检术(CT-GPLB)临床应用价值。方法选取2017年1月至2019年1月我院收治的肺部占位性病变患者200例为研究对象,给予CT-GPLB检查,观察穿刺的成功率及并病变诊断的准确率,记录并发症发生情况。结果 200例患者均穿刺成功,其中190例仅行1次穿刺就成功取出活检样本,10例患者行2次穿刺才成功取出活检样本;200例患者中140例患者确诊为恶性肿瘤,47例为良性病变,未能明确诊断13例,穿刺物为糜烂组织。确诊率为93.50%(187/200),恶性肿瘤确诊率70.00%(140/200);其中发生针道出血39例,气胸24例,未出现呼吸困难者。结论对存在肺部占位性病变患者给予CT-GPLB诊断,诊断结果较为精准,安全性较高,创伤小,操作简单,值得在临床上推广应用。

Clinical Application of CT-guided Percutaneous Lung Biopsy

Objective To explore the clinical application value of CT-guided percutaneous lung biopsy(CT-GPLB). Methods 200 patients with pulmonary space-occupying lesions who were admitted to the hospital from January 2017 to January 2019 were selected as subjects. CT-GPLB was performed to observe the success rate of puncture and the diagnostic accuracy. The incidence of complications was recorded. Results All the 200 patients underwent successful puncture. The biopsy samples of 190 patients were collected successfully with only once puncture. The biopsy samples of 10 patients were collected successfully with twice puncture. Of the 200 patients, 140 patients were diagnosed as malignant tumors, and 47 patients were diagnosed as benign lesions. 13 cases were not clearly diagnosed, and the specimens were erosion tissues. The confirmed diagnosis rate was 93.50%(187/200), and the confirmed diagnosis rate of malignant tumors was 70.00%(140/200). There were 39 cases with needle-tract bleeding, 24 cases with pneumothorax, and no case with dyspnea. Conclusion CT-GPLB for diagnosis of patients with pulmonary space-occupying lesions can obtain more accurate results, with safety, little trauma and it is simple to operate. It is worthy of clinical application.