CT导引下胸部病变穿刺活检不同方法的临床探讨

Clinical study of CT-guided percutaneous thoracic biopsy with different methods

目的探讨胸部病变穿刺活检联合同轴针吸对提高阳性率减少并发症的价值。方法回顾性分析CT导引下106例胸部病变三种不同穿刺方法的阳性率及并发症。结果单纯针吸组32例,检出恶性病变23例,良性4例,阳性率为84.3%,并发症为15.6%;单纯活检组27例,检出恶性病变15例,良性7例,阳性率为81.5%,并发症为48.1%;活检同轴针吸组47例,检出恶性病变28例,良性15例,阳性率91.5%,并发症为29.7%。结论活检联合同轴针吸是提高阳性率减少并发症的较好的活检方法,它既弥补了活检的缺点,又集中了针吸的优点,是值得推广的活检方法。

Objective To explore the value of pulmonary percutaneous biopsy under CT-guided with coaxial cutting biopsy and fine-needle aspiration biopsy of improving masculine rate and reducing complication. Methods The masculine rate and complication in 106 cases under CT-guided with the different method was reviewed retrospectively. Results Twenty-three malignant lesions and 4 innocence lesions were found in 32 cases by fine-needle aspiration biopsy; the masculine rate was 84.3%; the complication was 15.6%. Fifteen malignant lesions and 7 innocence lesions were found in 27 cases by biopsy; the masculine rate was 81.5% ; the complication was 48.1%. Twenty-eight malignant lesions and 15 innocence lesions were found in 47 cases by coaxial cutting biopsy and fine-needle aspiration biopsy; the masculine rate was 91.5 %; the complication was 29.7%. Conclusion Coaxial cutting biopsy and fine-needle aspiration biopsy is better biopsy method of improving masculine rate and reducing complication. It was the valuable biopsy method that adds disadvantage of biopsy and collects merit of fine-needle aspiration biopsy.