摘要
目的:探讨CT导向下穿刺活检对肺中央型病变的可行性和安全性。方法:回顾性分析CT导向下穿刺活检的108例肺中央型病变患者的病例资料,其中57例术前已行支气管镜检查但未取得明确结果。分析108例行穿刺活检的患者的活检阳性率和并发症发生率,并与随机抽取的同期108例肺周围型病变患者的结果进行对比分析。结果:中央型病变组的活检阳性率(96.3%)与周围型组(98.2%)比较差异无显著性意义;总的并发症发生率中央型组(56.5%)明显高于周围型组(26.9%),两组比较差异有显著性意义(P<0.05),但较严重并发症的发生率两组差异无显著性意义。57例支气管镜检查诊断不明确病例的活检阳性率为96.49%,并发症发生率63.16%。结论:对于肺中央型病变,只要严格掌握适应证,CT导向下穿刺活检是可行、安全和有效的,尤其适用于支气管镜检查无法明确诊断的病例。
Objective：To evaluate the feasibility and safety of CT-guided percutaneous biopsy of central pulmonary lesions. Methods： The clinical materials of 108 cases with CT guided percutaneous biopsy of central pulmonary lesions were retrospectively reviewed, including 57 cases having undergone bronchoscopy but without definite diagnoses. The positive rate of biopsy and incidence of complication in these 108 cases were analyzed and compared with those of other randomly selected 108 cases in the same period with peripheral pulmonary lesion biopsy. Results： The positive rate of biopsy of central pulmonary lesion was 96.3%,of peripheral pulmonary lesion was 98.2%, no significant statistical difference was existed. The incidence rate of complications in central pulmonary lesions was 56.5 %, which was much higher than that of peripheral pulmonary lesion （26.9 % ）, with significant statistical difference （P〈0.05）. However, the incidence rate of severe compli cation of this two groups did not have any significant statistical difference. Of the 57 cases had bronchoscopy but without definite diagnoses, the positive rate of biopsy was 96.49 % and the incidence rate of complication was 63.16 %. Conclusion： With strict control on indications, CT-guided percutaneous biopsy of central pulmonary lesions is feasible, safe and effective, especially for those cases who underwent bronchoscopy but without definite diagnoses.
出处
《放射学实践》
北大核心
2010年第11期1279-1282,共4页
Radiologic Practice
