MSCT引导下肺部肿块穿刺的有效性探讨

The Advantage and Value of Percutaneceus Lung Wear Unter Guige of MSCT

目的:研究MSCT引导下经皮肺穿的优势与价值。材料与方法:选取我院近5年75例患有肺部肿块的患者,常规MSCT容积扫描,25例行增强扫描。术前通过MSCT后处理软件,对病灶形态、范围、密度、强化特点及周围组织毗邻关系逐一分析,术后常规病检。结果:65例穿刺成功,5例穿刺失败,5例经后处理图像分析及增强扫描后放弃穿刺。明确恶性病灶56例,良性病灶9例。发生大量气胸2例、少-中量气胸4例;肺内出血3例;咯血2例;皮下气肿6例;血胸2例。结论:术前MSCT容积扫描后通过各种成像技术的不同方位显示病变,可提高穿刺的成功率、准确性,减少并发症,是一种相对安全、有效、简单的诊断方法,可作为肺内肿块的常规检查。

Purpose： The advantage and value of percutaneous lung wear under the guide of MSCT. Materials and Methods： Methods in our hospital in recent 5 years, 75 patients withlung tumor patients, routine MSCT scan, 25 cases underwent enhanced scan. By preoperative MSCT post processing software, one by one analysis focus on theform, scope, density, enhanced features and surrounding tissues adjacent relations, routine check disease after surgery. Results： 65 cases of successful puncture, puncture failed in 5 cases, analysis and enhanced images after giving up the treatment after puncture in 5 cases. The malignant lesions in 56 cases, 9 cases of benign lesions. In 2 cases, small-amount of pneumothorax in 4 cases occurred pneumothorax; 3 cases with pulmonary hemorrhage; 2 cases of hemoptysis; subcutaneous emphysema in 6 cases; 2 cases of hemothorax. Conclusion： preoperative MSCT scanning volume by various imaging techniques in different azimuth display lesions, can improve the success rate of puncture, accuracy, reduce complications, is a relatively safe, effective, simple diagnostic method, can be used as a routine examination of lung mass.