【摘要】 目的评价CT引导下经皮肺穿刺活检对肺部疾病的诊断价值及并发症。方法在CT引导下使用全自动切割针对76例肺部局限性病灶(局限性病灶组——A组)和7例肺部弥漫性病灶(弥漫性病灶组——B组)行经皮肺穿刺活检;分析其穿刺成功率及病理学资料;观察气胸和咯血的发生。结果穿刺物病理学资料显示,2组共有79例成功穿刺活检到病灶组织;肺穿刺成功率。A组穿刺成功率(98.7%)高于B组(57.1%)(P<0.01)。A组肺癌占76.3%(58/75);B组肺癌占28.6%(2/7);二组差异有统计学意义(P<0.01)。合计两组肺部病灶临床总确诊率为95.2%(79/83)。两组合计发生气胸23例;咯血17例。结论CT引导下经皮肺穿刺活检操作简单、可靠,组织学标本获取率及病理学诊断率高,但气胸、咯血等并发症发生的风险仍存在。更多还原

【Abstract】 Objective To explore the diagnostic value and complication of percutaneous CT-guided lung biopsy for pulmonary lesions. Methods CT-guided percutaneous transthoracic needle biopsy was carried out in 83 consecutive patients with pneumonic diseases dated from Dec 2007 to Aug 2008, followed by pathological examinations. Accuracy, pathologic data was analyzed in all cases. Results 79 out of 83 cases were performed successfully, and 60 cases of 79 were proved to be lung cancer. The complications included mild pneumothorax (n =23), and small hemop tysis (n = 17). All complications didn’t represent the need for medical specific treatment. Conclusion CT-guided percutaneous needle biopsy in pneumonic diseases is a safe and effective diagnostic means, which has a high diagnostic rate and few complications. Its accuracy relates to the size of the target lesion.更多还原