CT引导经皮肺穿刺的临床应用

Clinical Application of CT-Guided Percutaneous Pulmonary

目的:探讨CT引导下经皮肺穿刺活检程序,降低并发症,提高穿刺准确率。材料与方法:回顾分析132例经皮肺穿病例,对定位,麻醉及第一第二针活检过程进行观察。结果:132例肺穿活检病例确诊肿瘤病变93例,其中肺腺癌18例,肺鳞癌40例,小细胞癌18例,腺鳞癌1例,肺肉瘤1例,骨肉瘤肺转移1例,找见癌细胞未分型14例,假阴性2例,肺出血13.6%,气胸发生率18%,麻醉后气胸2例,占总数1.5%,取检一次后气胸8例,占总数6%。结论:CT引导下经皮肺穿刺活检是一项准确的肺肿瘤确诊方法,规范操作,注意环节质量,可明显降低并发症发生。

Purpose： To investigate the steps and complications of transcutaneous lung needle aspiration biopsy under CT guided for improving the accuracy. Materials and Methods： The process of 132 cases of transcutaneous lung needle aspiration biopsy were analyzed retrospectively. Results： 93cases of 132 cases of transcutaneous lung needle aspiration biopsy were lung tumour（ 18cases of lung adenoma, 40cases of lung squamous carcinoma, 18cases of lung small cell carcinoma, 1 case of lung adenosquamous carcinoma, 1 case of lung sarcoma, 1 ease of lung metastasis tumor, 14 cases of undifferentiation tumor）, 2cases of false positive, the incidence of lung hemorrhage was 13. 6 %, the incidence of pneumothorax was 18%. Conclusion： The transcutaneous lung needle aspiration biopsy under CT guided is one of accurate diagnosis methods in lung tumor.