自动活检枪经皮肺穿刺检查周围型肺肿块的结果分析

Peripheral Lung Mass Examined by Automatic Core Biopsy Gun

目的:探讨自动活检枪经皮肺穿刺对周围型肺肿块的临床诊断价值及安全性。方法:CT检查明确为周围型肺肿块196例患者,在CT导向下,用自动活检枪经皮肺穿刺活检。结果:动活检枪经皮肺穿刺活检明确诊断周围型肺肿块187例,包括恶性肿瘤164例、结核7例和炎性假瘤14例,确诊率为95.4%,咯血及痰中带血发生率为5.6%,气胸发生率仅为15.8%。结论:经皮肺穿刺活检枪技术检查周围型肺部肿块安全、可靠、准确。

Objective： To evaluate the clinical value and safety of automatic core biopsy gun for the diagnosis of peripheral lung mass. Method： 196 cases of peripheral lung mass diagnosed by CT scanning were punctured by automatic biopsy guns guided by CT scan. Results： 187 cases were diagnosed confirmedly as peripheral lung mass, including 164 cases of malignant tumor, 7 cases of tuberculosis and 14 cases of inflammatory pseudotumor. The diagnosis rate was 95.4 %. The incidence rate of hemoptysis and blood sputum was 5.6 %, and that of pneumothorax was only 15.8 %. Conclusion： Automatic core biopsy gun is safe, reliable and an accurate method for the diagnosis of peripheral lung masses.