CT引导经皮肺穿刺活检诊断胸部病变(附60例分析)

To Diagnosis Pulmonary Disease Throught CT-Guided Percutaneous Transthoracis Needle Biopsy

目的 :探讨胸部病变CT导引经皮穿刺术的准确性、适应症、并发症及应用价值。材料与方法 :应用Tru -cut18G - 2 0G (内槽式切割针 )对 6 0例患者在CT导向下穿刺活检 ,5 4例经手术病理证实 ,病变大小约 1 0cm× 1 5cm× 2 0cm -10cm× 12cm× 11cm。结果 :6 0例中肺癌 45例 ,转移瘤 3例、纵隔、胸膜恶性病变 4例 ,良性病变 3例、其它 5例。活检准确率90 % (5 4/6 0 ) ,共有 6例发生气胸占 10 % (6 /6 0 )其中 2例伴少量咯血丝。结论 :CT导引经皮肺穿刺术对胸部病变诊断准确性高 ,且并发症低。

Purpose:To evaluate pulmonary disease accuracy indication,complications and usefulness of CT-guided percutaneous transthoracis needle biopsy(PTB).Materials and Methods:Tru-ut(18G-20G needle was performed in 60 patients by CT-guided PTB.54 patients were confirmed by surgery.Tumor volumes range from 1 0cm×1 5cm×2 0cm to 10cm×12cm×11cm.Results:Of 60 cases studied,Lesion were located in lung carcinoma(n=45),metastatic tumor(n=3),mediastinum tumor(n=4) and benign(n=3),the rest(n=5).the diagnosis accuracy was 90% (54/60).six case occurred pneumothorax 10%(6/60),including two case slighter hemoptysis.Conclusion:CT-guided percutaneous tranthoracic needle biopsy to diagnosis pulmonary disease has high accuracy and fewer complicutions.