摘要
目的探讨64排螺旋CT引导下经皮肺穿刺活检在肺周围孤立结节定性诊断价值和交流操作技术经验。方法选择62例x线或CT确定为肺周围孤立结节,大小1.8cm×2.0cm～2.5cm×3.3cm,痰细胞学阴性,经常规纤支镜检查无法获得病理学证据的患者,采取64排CT立体定位,活检枪采集标本进行病理学检查。结果本组穿刺成功率为100%,62例病变中,腺癌32例,鳞癌5例,肺转移瘤6例,结核6例,胸膜间皮瘤3例,炎症8例,液化坏死组织2例,确诊率达96.8%(60/62);发生气胸1例。结论 64排螺旋CT引导下经皮胸部穿刺活检定位准确,安全性高,方法简单快速,对肺周围性病变的确诊具有很高的价值。
Objective To analyze the qualitative diagnostic value of 64 row spiral CT-guided percutaneous lung puncture biopsy for isolated pulmonary peripheral nodule and to exchange technological experience.Methods We selected 62 patients with isolated pulmonary peripheral nodule sized from 1.8cm×2.0cm^2.5cm×3.3cm as objects.All the subjects were diagnosed through CT scanning or X-ray examination.The cytologic examination of all the subject′s sputum was negative and the pathologic evidence could not be obtained by regular fiberoptic bronchoscopy,it just only be obtained by biopsy gun under 64 row spiral CT stereotaxis.Results The success rate of the puncture was 100%.Of all the 62 subjects,32 patients were with adenocarcinoma,5 were with squamous cell carcinoma,6 were with tuberculosis,3 were with pleural mesothelioma,8 were with inflammation and 2 were with liquefaction necrosis of tissue.The confirmed rate of diagnosis was 96.8%（60/62）.There was 1 object with complication of pneumothorax.Conclusion 64 row spiral CT-guided percutaneous lung puncture biopsy is simple,accurate,fast and with great security.It has great diagnostic value in confirming pulmonary peripheral diseases.
出处
《四川医学》
CAS
2012年第10期1833-1834,共2页
Sichuan Medical Journal
关键词
64排螺旋CT
肺周围孤立结节
经皮肺穿刺活检
定性诊断
64 row spiral CT
pulmonary peripheral mass
percutaneous lung puncture biopsy
qualitative diagnosis
