摘要
目的评估CT导引下经皮穿刺肺活检的介入诊断价值及临床应用。方法所有56例肺部孤立球形肿块或结节病变均应用9、12号腰穿刺针、7号细长针或18G半自动切割针。在CT机(西门子ARC型)简单定位方法下正确定位。结果穿刺活检56例,穿刺成功率100%,诊断正确54例,符合率96.4%,并发气胸12例,发生率为21.4%,3例肺内针道少量出血,发生率5.35%,经留观及随访,除2例气胸经抽气引流外,余均自愈。结论CT导引下经皮肺穿刺活检法是一种经济性与安全性均高的方法,可提高诊断正确性,及时给予患者适当的治疗。
Purpose To evaluate the interventional diagnostic accuracy and clinical application of percutaneous transthoracic needling lung biopsy. Methods 56 cascs of pulmonary solitary spherical or nodular lesions were punctured with No.9~No.12 lumbar puncture needle,No.7 fine needle or l8G half auto-incision needle under accurate localization of CT(Siemens ARC)guidance. Results The successful puncture rate reached l00% in all 56 cases with diagnostic accuracy rate of 96.4% in 54 cases. Complications Included pneumothorax l2 cases(21.4%)and intrapulmorary needle tract small amount bleeding 3 cases(5.35%)were closely followed up with uneventful recovery except 2 cases of pneumothorax reguiring drainage. Conclusion percutaneous transthoratic needling lung biopsy is an economic and safe procedure together with prompting the diagnostic accuracy and providing the proper time for treatment.
出处
《上海医学影像》
2004年第4期300-301,共2页
Shanghai Medical Imaging
