C型臂透视导向下经皮肺穿刺活检术在肺周围型占位病变的应用

Carm Perspective Guided Percutaneous Lung Biopsy Application of Space Occupying Lesions in the Lung

目的：评价C型臂透视下经皮肺穿刺活检术在肺部周围型占位病变的应用价值。材料与方法：搜集2012年1月～2015年6月经胸片和CT诊断为肺部周围型占位病变患者95例，应用C型臂X线增强器-电视系统透视穿刺活检，分析其准确率和并发症。结果：穿刺病理活检明确诊断83例，准确率为87．3％，并发气胸18例占18．9％，肺出血15例占15．7％，咯血5例占5．3％。结论：C型臂透视下经皮肺穿刺活检术在肺部周围型占位病变中的定性诊断是实用的和有效的，可减少许多不必要的开胸探察手术，减轻患者的痛苦和高额经费。

Purpose： To evaluate the application value of percutaneous lung biopsy under C arm in the patients with peripheral lung lesions. Materials and Methods： to collect January 2012 to 2015 June chest X - ray and CT in the diagnosis of peripheral lung accounted for 95 cases of lesions in patients with, the application of Carm X ray intensifier television system perspective biopsy and analysis of its accuracy and complications. Results： 83 cases were diagnosed by biopsy, the accuracy rate was 87.3%, 18. 9% cases were complicated with pneumothorax, 15 cases of pulmonary hemorrhage, 15.7% cases of he- moptysis, 5. 3% cases of hemoptysis. Conclusion： C -arm fluoroscopy percutaneous lung biopsy in peripheral pulmonary ac- counted for qualitative diagnosis of lesions is practical and effective, reduce the number of unnecessary thoracotomy laparoto- my, reduce the pain of patients and the high cost of funds.