目的 评价CT引导经皮肺穿刺活检的临床价值.方法 应用弹簧式切割活检针在CT引导下对103例肺部病灶进行经皮肺穿刺活检.结果 103例经穿刺活检后确诊为恶性者74例,良性者20例,9例未能作出明确诊断,其中提示炎症的15例中有2例术后病理证实为肺癌,总确诊率为89.3%(92/103).并发症中气胸者14例(13.6%),其中有1例为迟发型大量气胸;肺内少量出血者7例(6.8%);少量血胸者2例.结论 CT引导经皮肺穿刺活检术是一项安全、准确性高、简便有效的临床诊断技术.%Objective To evaluate the clinical value of CT-guided percutaneous fine-needle as- piration biopsy of lung. Methods CT-guided percutaneous fine-needle aspiration biopsy of lung was performed in 103 cases with pulmonary diseases. Results Out of 103 cases,74 cases were confirmed to be malignant,20 cases benign but 9 cases remained to be confirmed. Among 15 cases implying inflammation,2 cases were confirmed to be lung cancer after operation. The accuracy was 89.3% (92/103). Complications were pneumothorax in 14 cases (13.6%),small pulmonary hemorrhage in 7 cases (6.8%) and small haemothorax in 2 cases. Conclusion CT-guided percu- taneous fine-needle aspiration biopsy of lung is a safe,accurate and effective technique.
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