CT引导下经皮肺活检对肺部疾病诊断的临床意义

The Clinical Significance of CT Guiding Percutaneous for Lung Disease

目的探讨CT引导下经皮肺对肺部疾病诊断的临床意义。方法对2001年1月至2010年1月CT引导下经皮肺穿刺活检患者138例的临床资料进行回顾性分析,通过比较患者的病理检查结果及并发症情况,分析CT引导下经皮肺对肺部疾病诊断的临床意义。结果①138例CT引导下经皮肺穿刺活检患者中一次活检成功128例,成功率92.8%,113例获得阳性结果,阳性率为81.9%。②113例阳性结果中肺部恶性肿瘤93例,占82.3%;炎性假瘤4例,占3.5%;肺结核8例,占7.1%。其中93例恶性肿瘤病理分型为鳞癌28例,腺癌47例,小细胞分化癌4例,细支气管肺泡癌3例,低分化癌8例,转移肿瘤3例。③CT引导下经皮肺穿刺活检患者出现并发症26例(18.8%),为少量气胸4例(2.9%),术中及术后咯血10例(7.2%),术后胸痛12例(8.7%)。结论 CT引导下经皮肺活检准确率较高,操作简单易行,是较为理想的定位方法,对肺部占位病变的临床确诊具有重要意义。

Objective To study the clinical significance of CT guiding percutaneous for lung disease.Methods 138 CT guiding percutaneous lung patients were retrospectively analyzed,comparing the complications and pathological findings.Results 138 cases of CT guiding percutaneous lung biopsy patients success 128 progressive,113 cases success rate for a positive result,rate of executive.Positive results in 113 cases of pulmonary malignant tumor 93 patients, accounting for high,Inflammatory pseudotumor 4 cases,accounting for 3.5%,Tuberculosis 8 cases,accounting for 7.1 %.93 patients with malignant tumor pathologically classified for squamous cell carcinomas 28 cases,adenocarcinoma 47 patients,small cell differentiation cancer 4 cases,bronchioloalveolar carcinoma 3 cases,poorly differentiated carcinoma 8 cases,3 cases of cancer metastasis.CT guiding percutaneous lung biopsy 26 cases of patients with complications（18.8%）,is a few pneumothorax,4 cases（2.9%）,intraoperative and postoperative haemoptysis 10 patients（7.2%）,postoperative chest pain in 12 cases（8.7%）.Conclusion CT guiding percutaneous lung biopsy diagonosis,simple operation,is the ideal location methods to the diagnosis of lung disease.