【摘要】 目的:评价CT引导下经皮肺穿刺活检对肺部疑难疾病的诊断价值及安全性。方法:回顾性分析有手术病理、临床或影像随访结果的CT引导下经皮肺穿刺活检105例,其中97例为肺部局限性病灶(A组),8例肺部弥漫性病灶(B组)。结果:2组共有101例穿刺物结果与手术病理、临床或影像学随访结果相符,穿刺诊断正确率96.2%。A组穿刺诊断正确率(99.0%)高于B组(62.5%)(P<0.01)。A组肺癌占79.4%(77/97;B组肺癌占60.0%(3/5);二组差异无统计学意义(P>0.05)。两组合计发生气胸24例;出血34例,其中咯血18例。结论:CT引导下经皮肺穿刺切割活检穿刺诊断正确率高,是肺内疑难病变定性诊断的理想方法;使用18G穿刺针,可减少穿刺次数、降低出血的发生。更多还原

【Abstract】 Objective:To explore the diagnostic value and complication of percutaneous CT-guided needle lung biopsy in pulmonary lesions.Methods:CT-guided percutaneous transthoracic needle biopsy was carried out in 105 consecutive patients with pneumonic diseases who had full record of pathological,clinical or imaging fouow-up data.Results:101 cases were matched with the results of pathology,clinic or image follow-up.The correct ratio of puncturation diagnosis was 96.2%.80 cases of 101 were proved to be lung cancer.The complications included mild pneumothorax(n=24),and small hemop tysis(n=18).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 targetlesion.更多还原