【摘要】 目的回顾CT引导下同轴活检肺部病变,分析活检确诊率及并发症情况。方法回顾2011年7月—2014年6月间共178例经皮肺穿刺活检术,分析诊断成功率、病理学结果及气胸、出血等并发症发生率。结果本组病例中,行1次穿刺176例(98.9%),行2次穿刺2例(1.1%);明确病理诊断共170例(95.5%),其余8例(4.5%)结果为坏死组织或肺组织。并发症包括气胸35例(19.7%),行胸腔闭式引流6例(3.4%);出血23例(12.9%);血气胸2例(1.1%),其中1例行予输血及胸腔闭塞引流,另外1例行外科手术止血;无死亡病例。结论 CT引导下肺穿刺活检操作简单、准确性高,应注重技术细节,进一步提高安全性。更多还原

【Abstract】 Objective To analyze the diagnostic effectiveness and complications of CT-guided percutaneous lung biopsy retrospectively. Methods From July 2011 to June 2014, 178 cases of percutaneous CT-guided lung biopsy were reviewed, including rate of pathologic dianosis, pathologic results, and complications. Results 176 cases(98.9%) had 1 biopsy, and 2 cases(1.1%), 2biopsies. 170 had successfully pathologic diagnosis, while the other 8 were reported as necrosis or normal lung.The complications included pneumothorax(35 cases, 19.7%), bleeding(23 cases,12.9%) and hemopneumothorax(2 cases, 1.1%). Conclusions CTguided percutaneous biopsy was a simple procedure with high accuracy. Technical skills should be improved as for safety concerns.更多还原