CT导引胸部病变穿刺活检的操作技巧

Operating Skills of CT-Guided Puncture Biopsy of Thoracic Lesions

目的探讨CT导引胸部病变穿刺活检的相关操作技巧,为胸部病变穿刺活检提供参考依据。方法选择2010年1月至2012年10月邯郸市传染病医院收治的128例胸部病变患者作为研究对象,所有患者均在CT导引下进行穿刺活检,对所有患者的临床资料进行分析。结果 128例患者中,127例患者在CT导引下穿刺成功,1例患者穿刺失败,其穿刺成功率为99.2%。128例患者中有123例患者经CT检查得以确诊,其确诊率为96.85%,其中51例为良性病变,72例为恶性病变。128例患者中,有8例患者在穿刺后出现了并发气胸的情况,其并发症发生率为6.3%。结论在对胸部病变患者进行临床诊断时,CT导引胸部病变穿刺活检是明确病变良、恶性的重要手段之一,具有较高的临床应用价值,在临床工作中值得推广应用。

Objective To discuss the related operating techniques of the CT-guided puncture biopsy of thoracic lesions,and provide reference to the clinical practice.Methods A total of 128 cases of thoracic lesions admitted in Handan City Infectious Diseases Hospital from Jan.2010 to Oct.2012 were collected as study objects,all of these patients were treated with CT-guided puncture biopsy,and their clinical reports were analyzed.Results Among the 128 patients,only one patient＇s puncture operation failed,the other 127 patients all succeeded in the CT-guided puncture,which made the success rate of puncture 99.2%.And 123 out of the 128 patients were able to bediagnosed through CT examination,which made the diagnosis rate 96.85%,besides,among the 123 cases diagnosed,there were 51 benign and 72 malignant.Among the 128 patients,only 8 patients had biopsy pneumothorax occurred after the puncture,which made the complication rate 6.3%.Conclusion When diagnosing the patients with thoracic lesions,CT-guided puncture biopsy of thoracic lesions is an important way to determine the benign and malignant diseases.It has high clinical value and should be widely recommended.