电视透视导引下经皮肺穿在肺部病变的诊断价值

目的探讨电视透视导引下经皮肺穿刺在肺部病变的诊断价值。方法 182例肺部病变患者,行CT平扫＋增强后,在电视透视导引下行经皮肺部病灶细针穿刺活检,统计分析穿刺术的成功率,阳性率,并发症。结果 182例中穿刺成功,取得活检标本179例,成功率达98.3%,取得病理结果177例,阳性率达97.2%,并发症：气胸19例（10.4%）,肺出血21例（11.5%）,疼痛不适2例（1.1%）,穿刺失败3例（1.6%）。结论结合CT平扫＋增强,在电视透视导引下行经皮肺部病灶细针穿刺活检,成功率、阳性率高,并发症低,是一种操作简便,安全实用的定性诊断方法。

Fluoroscopic guided percutaneous lung biopsy in the diagnosis of pulmonary lesions

Objective To analyze the significance of fluoroscopic guided percutaneous lung biopsy in the diagnosis of pulmonary lesions.Methods There were 182 patients with lung lesions who received enhanced CT scan enrolled.Fluoroscopic guidance percutaneous biopsy of lung lesions was performed.Statistical analysis of the success rate of puncture,positive rate and complications were done.Results Puncture success was achieved in 182 cases,and 179 cases of biopsy specimens obtained,and the success rate was 98.3%.And 177 cases pathologic results obtained,positive rate was 97.2%.Complications included pneumothorax in 19 patients（10.4%）,pulmonary hemorrhage in 21 cases（11.5%）,pain and discomfort in 2 cases（1.1%）,puncture failure in 3 cases（1.6%）.Conclusion Percutaneous fluoroscopic guidance fine needle aspiration biopsy of lung lesions with high success rate and the positive rate,low complication rate,is a simple,safe and practical method for qualitative diagnosis.