自动活检枪经皮肺穿刺活检对Ⅰ-Ⅱ期肺癌的病理学诊断价值

Percutaneous transthoracic biopsy in pathologic diagnosis of stage Ⅰ-Ⅱ lung cancer

对经我院经胸部螺旋CT检查临床诊断为Ⅰ-Ⅱ期肺癌但无病理诊断的56例患者，行自动活检枪经皮肺穿刺活检术。结果均取得病理学标本，成功率为100％；术后病理诊断为肺癌49例，其中腺癌30例，鳞癌14例，肺泡癌2例，小细胞肺癌3例，慢性炎性病变3例，结核2例，2例未能明确诊断。提示对CT诊断Ⅰ-Ⅱ期肺癌的患者，自动活检枪经皮肺穿刺活检术町作为一种有效的确诊手段。

Fifty-six patients diagnosed as early stage lung cancer by spiral CT scan, underwent CT- guided percutaneous transthoracic biopsy with a successful rate of 100%. Forty nice cases were confirmed pathologically including adenocarcinoma in 30 cases, squamous carcinoma in 14, alveolar cell carcinoma in 2 and small cell lung cancer in 3. Three cases were diagnosed as chronic inflammatory lesion, 2 cases as tuberculosis and the diagnosis was not confirmed in 2 cases. The results suggest that CT-guided percutaneous transthoracic biopsy is an effective diagnostic measure for patients with stage Ⅰ-Ⅱ lung cancer.