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目的分析CT导引经皮肺穿刺活检在肺部病变诊断价值。方法选择2014年12月-2015年12月该院收治的肺部占位性病变患者66例,拟实施CT导引经皮肺穿刺活检。观察穿刺的成功率、病变诊断的准确性与并发症发生情况。结果所有患者穿刺顺利,一次成功,标本合格,穿刺成功率100.00%。经病理学诊断得到明确结果59例(89.39%),且该病理诊断结果均与手术或随访结果相符,其中恶性肿瘤40例,良性病变19例,其余7例未能给出公允化诊断,经手术或随访均证实为恶性肿瘤。CT引导下经皮胸穿刺活检的灵敏性为85.11%,特异性为100.00%。发生针道出血13例(19.70%),气胸8例(12.12%)。结论对疑似肺部病变者使用CT引导下经皮肺穿刺活检术进行诊断,安全性较高,精准,对患者创伤小,并发症少,效果好,操作简单,值得进一步在临床治疗中推广使用。
Objective To analyze the value of CT guided percutaneous lung biopsy in the diagnosis of pulmonary lesions. Methods Sixty-six patients with lung space-occupying lesions admitted to our hospital from December 2014 to December 2015 were enrolled. CT-guided percutaneous lung biopsy was performed. Observe the success rate of puncture, the accuracy of diagnosis of lesions and the incidence of complications. Results All patients had a successful puncture. The successful one was successful and the puncture rate was 100.00%. Fifty-nine cases (89.39%) were confirmed by pathological diagnosis. The pathological findings were consistent with the results of surgery or follow-up. Forty cases of malignant tumors, 19 cases of benign lesions and the remaining seven cases failed to give a fair diagnosis. Surgery or follow-up were confirmed as malignant tumors. The sensitivity of CT guided percutaneous thoracentesis was 85.11% and the specificity was 100.00%. Thrombosis occurred in 13 cases (19.70%), pneumothorax in 8 cases (12.12%). Conclusion CT-guided percutaneous lung biopsy is a safe and accurate method for the diagnosis of suspected pulmonary lesions. It is less invasive, less invasive, less invasive and easier to operate than the traditional CT-guided percutaneous lung biopsy. It is worth further promotion in clinical treatment .