经皮肺穿刺活检在肺部包块诊断中的应用价值(附511例分析)

The Application Value of Percutaneous Pneumocentesis Biopsy in the Diagnosis of Pulmonary Mass: an Analysis of 511 Cases

目的探讨经皮肺穿刺活检在肺部包块诊断中的应用价值。方法对511例肺部包块病人经皮肺穿刺方法、刺中率、阳性率及并发症进行回顾性分析。结果511例共穿刺546次,其中在电视透视引导下穿刺371次,刺中率92.9%。CT引导下穿刺195次,刺中率100%。511例中423例经手术、随访或临床检查等证实,其余78例因失去随访、术中不配合或未取材即发生气胸及肺出血等而无明确结论。423例中,活检正确率90.8%。546次穿刺中发生各种并发症99例,总发生率为18%,其中肺出血发生率较低。结论在电视透视及CT引导下经皮肺穿刺活检,有很高的刺中率和活检正确率。

Objective To discuss the application value of percutaneous pneumocentesis biopsy in the diagnosis of pulmonary mass. Methods Retrospective analysis was carried out on 511 cases of pulmonary mass on the aspects of percutaneous pneumocentesis method, successful puncture rate, positive rate and complication. Results Onto the 511 cases, 546 times＇ punctures were performed, of which 371 times were under television perspective with a successful puncture rate of 92.2%, and 195 times were undel CT with a successful puncture rate of 100%. Among the 511,423 cases were confirmed by operation, follow-up and clinical examination. The other 78 cases were not able to be confirmed because of a variety of causes such as losing follow-up. The biopsy＇s correct rate of the 423 confirmed cases was 90.8%. During the 546 times＇punctures, complications occurred in 99 cases with a occurrence rate of 18%, but few of them suffered from lung bleeding. Conclusion It is indicated that the successful rate and correct biopsy rate can be high if percutaneous pneumocentcsis is performed under television perspective or CT.