CT引导下经皮胸部穿刺活检技术的临床价值
[摘要] 目的 探讨CT导引下经皮胸部穿刺活检技术的应用价值。方法 对204例患者行CT导引下经皮胸部穿刺活检术进行回顾性分析。结果 204例患者共218个病灶行穿刺活检,其中肺癌137例,结核32例,淋巴瘤8例,侵袭性胸腺瘤7例,12例为炎性肉芽肿,另有8例病理未能明确,临床随诊复查。并发症为气胸及肺内出血。结论 CT引导下经皮胸部穿刺活检技术是相对安全、易行、确诊率高、有效的诊断方法。
[关键词] CT引导下经皮肺活检; 肺占位
[中图分类号] R814.42 [文献标识码] A [文章编号] 1673-9701(2010)05-79-02
Clinical Value of CT-guided Percutaneous Biopsy of Pulmonary Masses
CHU Zhanfei ZHAO Jing GONG Jing
Department of Radiology,Siping Central Hospital,Siping 136000,China
[Abstract] ObjectiveTo explore the clinical value of CT-guided percutaneous puncture biopsy of pulmonary masses. MethodsA retrospectively analysis was made of 204 patients who underwent CT-guided percutaneous puncture biopsy of pulmonary masses. ResultsCT-guided percutaneous biopsy revealed a total of 218 lesions in the 204 patients with biopsy,of which there were 137 cases of lung cancer,32 of tuberculosis,8 of lymphoma,7 of invasive thymoma,12 of inflammatory granuloma,and another 8 cases with no clear pathology and clinical follow-up for reexamination. Complications were pneumothorax and pulmonary hemorrhage. ConclusionCT-guided percutaneous puncture biopsy is a safe,easy,accurate and effective diagnostic technique.
[Key words]CT-guided percutaneous pulmonary biopsy; Lung occupancy
CT引导下经皮胸部穿刺活检术[1]是近年来发展的一项新技术,是影像医学与病理医学相结合的临床检查方法。现分析我科2006年至今CT导引下经皮胸部穿刺活检术的应用情况,确定其临床应用价值。
1 材料和方法
1.1 一般资料
我科于2006年10月～2009年5月开展经皮胸部CT引导穿刺活检204例,其中肺部167例,纵隔及胸壁37例,年龄18～87岁。术前患者均行CT平扫检查,其中54例行CT增强检查。
1.2 材料
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