CT引导下经皮肺穿刺活检术在肺部病变诊断中的应用

摘要

目的:分析CT引导下经皮肺穿刺活检术对肺部病变的诊断价值.方法:回顾性分析我院2015年1月~2016年12月期间行CT引导下经皮肺穿刺活检术的39例患者临床资料、穿刺方法、穿刺成功率、诊断准确性、敏感性以及并发症.结果:39例病人中37例穿刺成功,穿刺成功率94.87%,明确病理学诊断35例,肺部恶性病变28例,其中鳞癌12例,腺癌 12例,小细胞肺癌 1例,未分型肺癌 3例.良性病变7例(结核 2例,炎症4例,结缔组织病 1例).发生并发症6例,发生率15.38%. 结论:CT引导下经皮肺穿刺活检术在肺部病变诊断中具有较大的应用价值,并发症可以防控,值得在临床推广.%Objective:To assess the diagnostic value of applying percutaneous biopsy guided by CT to pulmonary lesions.Methods: Retrospective analysis was performed in 39 cases undergone CT-guided percutaneous biopsy in our hospital between January 2015 and December 2016,regarding the patients' clinical information,methods of puncture,success rate for puncture,diagnostic accuracy and sensitivity as well as complications.Results: Thirty-seven in 39 patients successfully completed the biopsies(94.87%).Thirty-five patients received pathological confirmation,and 28 were pathologically confirmed as pulmonary malignant lesions,including squamous cell carcinoma in 12,adenocarcinoma in 12,small cell lung cancer in 1,and undifferentiated lung cancer in 3.Seven patients were associated with benign lesions(tuberculosis in 2,inflammation in 4,connective tissue disease in 1).Complications occurred in 6 cases(15.38%).Conclusion: CT-guided percutaneous lung biopsy can be valuable in diagnosis of the pulmonary lesions,and this diagnosis may be fewer complications and worthy of wider clinical recommendation.