CT引导下经皮肺穿刺活检术在肺周围型占位中的应用体会

摘要

目的：探讨CT引导下经皮肺穿刺活检术在肺周围型占位中的诊断价值。方法收集经胸部CT确定为肺周围型占位，并行CT引导下经皮肺穿刺活检术的患者70例临床资料。结果穿刺成功率100％，诊断准确率91．4％（64／70），并发症发生率22．9％（16／70）；其中少量气胸14例，痰中带血2例，均未作特殊处理。结论 CT引导下经皮肺穿刺活检术是一种微创、安全、诊断率高、并发症少的检查手段，对周围型肺部占位病变具有较高的诊断价值。%Objectives To investigate the diagnostics Value of CT-guided percutaneous lung biopsy in pulmonary peripheral le-sions.Methods Clinical date of 35 patients who were confirmed as pulmonary peripheral lesions by CT scan and performed CT-guided percutaneous lung biopsy were retrospectively analyzed.Results Accuracy rate of diagnosis was 91.4%(32/35), and inci-dence of complication was 22.9%.pneumothorax occurred in 7 cases, and blood in phlegm occurred in 1 case.Conclusions CT-guided percutaneous lung biopsy is a minimally invasive, relative safe and accurate way in diagnosis of pulmonary peripheral lesions.