CT引导下BardMagnum穿刺切割针在肺门区肿块活检中的临床应用价值

The Clinical Application Value of CT Guided Bard Magnum Puncture Cutting Needle in Pulmonary Hilum Mass Biopsy

目的:探讨CT引导下经皮肺门区占位穿刺活检术的临床应用价值及并发症的防范。方法:对35例肺门区占位病变病例,因支气管镜下活检+刷检(TBLB+BB)阴性,行CT引导下经皮肺穿刺切割活检术,分析阳性率及其并发症的发生、预防和处理措施。结果:35例穿刺成功阳性率88.6%(31/35),并发症主要为气胸(5例),肺出血(3例),胸膜反应(1例)。结论:CT引导下肺门区占位穿刺切割活检术诊断率较高,并发症较少,安全性相对较高,对于支气管镜下活检+刷检(TBLB+BB)阴性的肺门区占位的病例是比较安全有效的微创诊断技术。

Objective：To investigate the clinical application value and complications prevention of CT guided percutaneous pulmonary hilum puncture biopsy.Method：35 cases with pulmonary hilum occupying lesions,underwent CT guided percutaneous lung puncture biopsy,because bronchoscopic biopsy and brush biopsy（TBLB＋BB） were negative,the positive rate,the occurrence,prevention and treatment measures of complication were analysed.Result：In 35 cases, the positive rate of successful puncture was 88.6%（31/35）,the main complications were pneumothorax（5 cases）,pulmonary hemorrhage （3 cases）,pleura reaction （1 case）.Conclusion：CT guided percutaneous pulmonary hilum puncture biopsy has higher diagnosis rate,less complications,security is relatively high,it is a safe and effective minimally invasive diagnostic techniques for bronchoscopic biopsy and brush biopsy （TBLB＋BB） negative pulmonary hilar occupying cases.