CT引导下同轴活检系统对肺部占位病变诊断的临床意义

目的:评价CT引导下同轴活检系统对肺部占位病变诊断的临床意义。方法:统计68例行CT引导下同轴定位针联合活检枪经皮肺穿刺活检结果,结合文献探讨CT引导下同轴活检系统对肺部占位病变诊断的临床意义。结果:68例患者100%取得病理标本,其中结核24例(35.3%),恶性肿瘤40例(58.8%),炎性假瘤4例(5.9%);并发症少(5.9%),2例出现少量气胸,2例出现少许痰中带血。结论:CT引导下同轴套管针联合活检枪经皮肺穿刺活检对肺部疾病诊断率高,具有重要的临床价值,安全可行,值得临床应用。

Application of Biopsy Gun Combined with Trocar of Biopsy in the Percutaneous Lung Biopsy for Pulmonary Diseases Under CT-Guilded

Objective: To investigate the clinical application of biopsy gun combined with trocar of biopsy in the percutaneous lung biopsy for pulmonary diseases under CT-guidance.Methods: CT guided percutaneous lung biopsy,by biopsy gun combined with trocar,were performed on 68 patients who suffered from pulmonary lesions.The diagnosis values and complications were retrospectively analyzed,and the related literatures were reviewed.Results: The successful rate of puncture diagnosis was 100%.Forty cases of lung cancer patients was diagnosed,besides,24 cases were diagnosed as pulmonary tuberculosis and 4 cases were diagnosed as inflammatory pseudotumor.The incidence of postoperative complications was 5.9%(2 pneumothorax,2 blood sputum),which were relieved without treatment.Conclusion: CT guided percutaneous lung biopsy by biopsy gun combined with trocar of biopsy is relatively safe and reliable method of diagnosing pulmonary lesions.