多排螺旋CT导引下胸部病变穿刺活检的临床应用

Clinical Application of Multi-slice Spiral CT-guided Needle Biopsy of Chest Lesions

目的:探讨经皮穿刺切割活检肺部病变的阳性率、病理结果以及并发症。方法:对131例CT导引下经皮穿刺切割活检的病例资料进行回顾性分析。结果:经皮穿刺切割活检组织经病理学诊断125例,其中鳞癌52例,腺癌37例,脓肿3例,间皮瘤3例,结核球10例,小细胞肺癌2例,炎性假瘤5例,纵隔恶性肿瘤6例,慢性炎症7例。穿刺切割活检阳性率为91.2%。并发症(气胸6例,出血10例)占12.8%。结论:CT导引下经皮穿刺切割活检阳性率高,并发症轻,比较安全,值得推广。

Objective： Explore positive rate of percutaneous the cutting biopsy lung lesions, pathological findings and complications. Methods： Retrospectively analyzed the clinical data of 131 cases of CT-guided percutaneous cutting biopsy. Results： Percutaneous cutting biopsy tissue by pathology diagnosis of 125 cases, 52 cases of squamous cell carcinoma, adenocarcinoma, 37 cases of abscess three cases of mesothelioma in 3 cases, 10 cases of tuberculosis ball, two cases of small cell lung cancer, inflammatory pseudotumor 5 cases of mediastinal malignancies six cases, seven cases of chronic inflammation. Puncture cutting biopsy positive rate was 91.2%. Complications accounted for 12.8% （6 cases of pneumothorax, hemorrhage in 10 cases）. Conclusion： CT-guided percutaneous cutting biopsy positive rate of complications light, relatively safe, worthy of promotion.