摘要
目的探讨多层螺旋CT(MSCT)引导下经皮穿刺肺内非特征性占位病变活检术的临床应用价值。方法回顾68例肺内非特征性占位病变患者行MSCT引导下穿刺活检术的操作方法和过程,分析检查结果和并发症发生情况。结果 68例MSCT引导下经皮穿刺活检术均顺利成功,无严重并发症发生,仅10例术后出现少量气胸等轻度并发症,经简单保守治疗后全部恢复。全组68例肺内非特征性占位病变的病理结果中非恶性病变38例,占55.9%。结论肺内非特征性占位病变经病理确诊为非恶性者不在少数,该类病变及时确诊并正确治疗尤为重要,而利用MSCT的功能优势引导经皮肺穿刺活检术易于操作、结果可靠、并发症少,具有较高的临床应用价值。
Objective To explore the value of the clinical practice of MSCT-guided percuteneous pucture biopsy in intrapulmonary non characteristic occupying lesions.Methods The operating methods and processes of MSCT-guided percuteneous puncture biopsy were analyzed in 68 patients with intrapulmonary non characteristic occupying lesions.The results of examination and the complications were analyzed.Results MSCT-guided percuteneous puncture biopsy were performed smoothly and successfully.There was no complications among the 68 patients,only 10 of them had a little pneumothorax,and restored to health after a simple treatment.In about 55.9% of 68 cases of intrapulmonary non characteristic occupying lesions,the pathological findings showed the pathological changes of non-malignant lesions.Conclusion In more patients with intrapulmonary non characteristic occupying lesions.The pathological changes are non-malignance.It’s particularly important for them to make diagnoses and treatment,but the advantages of MSCT-guided percuteneous puncture biopsy include easy operation,more reliable result,and less complications and it has a higher clinical value.
出处
《中国临床新医学》
2013年第3期239-242,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
X线计算机体层摄影术
肺内非特征性占位
穿刺活检术
X-ray computed tomography
Intrapulmonary non characteristic occupying lesions
Puncture biopsy
