CT引导下肺部病变穿刺切割活检的临床观察及护理配合

SPIRAL CT-GUIDED PERCUTANEOUS TRANSTHORACIC NEEDLE BIOPSY IN TREATING PATIENTS WITH PNEUMONIC DISEASES AND THE CORRESPONDING NURSING COOPERATION

目的探讨螺旋CT引导下经皮穿刺针吸活检对肺部病变的临床应用价值。方法回顾性分析106例肺部病变CT引导下经皮针穿刺切割活检术及病理组织学检查。结果经手术、随访或临床检查证实为恶性肿瘤者86例,良性病变者共11例,确诊率为89.62%。假阴性3例,假阴性率为3.26%。发生气胸9例,发生率为8.49%。结论螺旋CT引导下经皮穿刺针吸活检术对肺部病变的诊断安全、有效,准确性高,并发症少,具有临床应用价值。

Objective To discuss the value of spiral CT- guided percutaneous transthoracic needle biopsy in treating patients with pulmonary diseases and the corresponding nursing measures. Methods The data of 106 patients with pulmonary diseases treated with spiral CT - guided pereutaneous needle biopsy were retrospeetively analyzed. Results Of the 106 eases, 86 were malignant tumors confirmed by surgery, follow - up survey or clinical examinations, ll eases were benign lesions and the rate of confirmation was 89.62%. 3 cases （3.26%） were false negative. Pneumothorax occurred in 9 patients（8.49 % ）. Conclusion Spiral CT - guided percutancous needle biopsy is a safe and valuable method in diagnosing patients with pulmonary diseases.