CT引导下经皮肺穿刺对于实性肺小结节的诊断:单中心经验总结

CT-guided Percutaneous Lung Puncture for the Diagnosis of Solid Pulmonary Nodules:A Single-center Experience Summary

背景与目的探究经皮肺穿刺对于实性肺小结节(直径≤15 mm)的诊断价值。方法本研究回顾性地纳入了2014年1月-2018年12月于本中心行经皮肺穿刺的20例实性肺小结节患者,其中男性11例,女性9例。病灶最大直径介于0.5 cm-1.5 cm之间,排除严重脏器功能不全,有凝血障碍患者。结果20例患者全部取材成功,19例患者均获得明确的病理诊断,其中11例患者找到恶性肿瘤细胞,明确为肺恶性肿瘤,5例为肺慢性炎,2例纤维组织增生,1例找到肺软骨组织,1例未见肿瘤细胞。穿刺后少量气胸1例,穿刺侧少量胸腔积液患者1例。结论经皮肺穿刺对于实性肺小结节的诊断具有较高的有效性以及安全性。

Background and objective To investigate the diagnostic significance of percutaneous lung puncture for solid pulmonary nodules(diameter≤15 mm).Methods This study retrospectively included 20 patients with solid pul-monary nodules who underwent percutaneous puncture from January 2014 to December 2018,including 11 males and 9 females.The diameter of the lesion is between 0.5 cm-1.5 cm,excluding severe organ dysfunction,and patients with coag-ulopathy.Results All 20 patients were successfully selected,and 19 patients were diagnosed with pathological diagnosis.Among them,11 patients found malignant tumor cells,which were clearly malignant tumors of the lungs,5 cases of chron-ic inflammation of the lungs,2 cases of fibrous tissue hyperplasia,and 1 case of lung cartilage tissue,no tumor cells were found in 1 case.One patient with a small amount of pneumothorax after puncture and one patient with a small amount of pleural effusion on the puncturesite.Conclusion Percutaneous lung puncture has a high effectiveness and safety for the diagnosis of solid pulmonary nodules.