CT引导下经皮肺穿刺活检72例临床分析

Analysis of 72 cases CT-guided percutaneous core needle lung biopsy

目的:探讨CT引导下经皮肺穿刺活检术对肺内周围性孤立性结节及弥漫性病变的临床价值。方法:收集2009年7月至2010年7月72例肺内周围性孤立性结节及弥漫性病变患者,行CT引导下经皮肺穿刺活检术,获取病理结果后行相关临床治疗或随访观察。结果:64例肺内周围性孤立性结节病灶在CT引导下经皮肺穿刺活检诊断为肺癌50例、结核球8例,炎性假瘤6例,而经手术病理、临床治疗或随访观察证实为肺癌52例、结核球8例、炎性假瘤4例。肺部弥漫性病灶8例,穿刺结果为正常肺组织3例、肺泡癌3例、慢性纤维组织2例。穿刺活检所致并发症有气胸7例、咯血3例、痰中带血5例。结论:CT引导下经皮肺穿刺活检为肺内周围性孤立性结节及肺部弥漫性病变的明确诊断提供一种安全有效的检查方法,具有较高的临床应用价值。

Objective： To explore the clinical value of transthoracic needle biopsy of peripheral pulmonary solitary nodules and diffuse lesions under CT-guided. Methods： 72 paitents（from July 2009 to July 2010）with peripheral pulmonary solitary nodules were and diffuse lesions collected,which were performed by percutaneous transthoracic needle biopsy under CT,clinical therapy or follow up survey were given after pathologic diagnosed. Results： The 64 cases were diagnosed to be 50 cases of pulmonary carcinoma,8 cases of tuberculoma,6 cases of inflammatory pseudotumor by percutaneous transthoracic needle biopsy under CT-guided,which were proved to be 52 cases of pulmonary carcinoma,8 cases of tuberculoma,4 cases of inflammatory pseudotumor.Pulmonary diffuse lesions 8 cases.Lung biopsy results for normal tissue 3 cases,alveolar carcinoma 3 cases,chronic fibre tissue 2 cases The complications were 7 cases of pneumothorax,3cases of hemoptysis,5 cases of sput-um containing blood. Conclusion： Percutaneous transthoracic needle biopsy under CT-guided provided a safe and efficient diagnostic method for peripheral pulmona-ry solitary nodules and diffuse lesions with few conplications.