64排CT引导下全自动活检枪经皮穿刺活检在肺内病变诊断中的应用

Clinical Application of 64 CT-Guided Percutaneous Transthoracic Needle Automatic Aspiration Biopsy on Diagnosing Lung Lesions under 64-row CT-Guidance

目的探讨64排CT引导下全自动活检枪经皮穿刺活检肺内病灶在临床中的应用。方法回顾性分析55例经皮穿刺肺内病灶的患者,经病理明确诊断53例。结果 55例患者穿刺诊断为原发性肺癌39例(其中鳞癌17例、腺癌21例、未分化癌1例),转移性肺癌6例,胸膜间皮瘤2例,结核1例,炎性病变5例,不能明确诊断2例。穿刺活检诊断准确率为96.4%,均未出现危及生命的严重并发症。结论 64排CT引导下全自动活检枪经皮肺穿刺活检是一种安全、准确的诊断和鉴别诊断肺内病变的方法,具有较高的临床应用价值。

Objective To evaluate the clinical application of 64-row CT-guided percutaneous transthoracic needle automatic aspiration biopsy on diagnosing lung lesions under 64-row CT-Guidance.Methods Retrospectly studied on 55 patients undergoing CT-guided percutaneous transthoracic needle aspiration biopsy under 64-row CT-Guidance,53 of them were diagnosed by pathology.Results Among these 55 patients,39 cases were proved malignant lung cancer,and among these 39 cases,17 cases were squamous cell carcinoma,21 cases were adenomatous carcinoma,1case was anaplastic carcinoma,6 cases of 55 patients were metastatic lung cancer,2cases were pleural mesothelioma,5 cases were inflammatory lesions,1case was pulmonary tuberculosis and 2 cases couldn′t be diagnosed.The diagnostic accuracy was 96%,and there was no serious complications.Conclusion percutaneous transthoracic needle automatic aspiration biopsy under 64-row CT-Guidance was a safe and accurate method in the diagnosing and differential diagnosing lung lesions,which had high clinical value.