不同方法经皮穿刺肺活检对肺部肿块的诊断价值

Diagnosis of pulmonary masses using three methods guided by transcutaneous fine-needle aspiration biopsy

目的比较三种不同方法经皮穿刺肺活检对肺部肿块的诊断价值。方法在X线透视、超声及CT引导下对107例肺部病变患者进行肺活检。结果三种穿刺方法均能获得较高的诊断率,并发症主要是气胸、咯血和血胸,CT引导发生率较高。结论三种穿刺方法均是安全的,临床值得开展。

Objective To compare the values of using three different methods in diagnosing pulmonary masses, all guided by transcutaneous fine - needle aspiration biopsy. Methods Guided by X-ray, ultrasound and CT, 107 patients with pulmonary masses were taken transcutaneous fine - needle aspiration biopsy. Results The three methods guided by transeutaneous fine - needle aspiration biopsy had higher diagnostic rate, The complications were mainly pneumothorax, spit blood and hemothorax, which occurred more frequently in CT guided method. Conclusion The three methods are safe and may be used widely.