摘要
目的:研究CT引导下经皮肺穿刺活检在肺部占位性病变诊断中的价值。方法:筛选本院在2018年10月~2019年10月收治的肺部占位性病变患者共100例,将患者分为对照组和研究组,每组患者50例,穿刺部位在右肺上叶的有35例,右肺中叶的有10例,右肺下叶的有22例,左肺下叶的有15例,左肺上叶的有18例,并应用CT引导下经皮肺穿刺活检术,收集患者病例资料,分析对照组和研究组患者的穿刺结果及并发症情况。结果:经穿刺活检诊断,检出率为95.45%,并发症发生率为6.00%。在活检手术后,有6例患者存在并发症,并发症发生率为6.00%。6例患者中出现气胸的有4例,3例患者均属于症状较轻的气胸,肺组织压缩面积不大,没有超过15%。结论:在CT引导下经皮肺穿刺活检术为肺部占位性病变患者进行诊断,对肺部占位性病变患者来说具有重要的研究价值,具有安全性高的特点,穿刺确诊率相对较高,在操作上不复杂,能够为医生做出准确的临床诊断提供可靠数据。
Objective:To study the value of CT guided percutaneous lung biopsy in the diagnosis of pulmonary space occupying lesions.Methods:A total of 100 patients with lung space occupying lesions admitted in our hospital from October 2018 to October 2019 were screened.The patients were divided into control group and study group,with 50 patients in each group.35 patients were punctured in the upper lobe of the right lung,10 in the middle lobe of the right lung,22 in the lower lobe of the right lung,15 in the lower lobe of the left lung,and 18 in the upper lobe of the left lung.CT guided percutaneous lung biopsy was applied.Collect patient case data,analyze the puncture results and complications of patients in the control group and the study group.Results:The detection rate was 95.45%,and the incidence of complications was 6.00%.After biopsy,6 patients had complications,and the incidence of complications was 6.00%.Pneumothorax occurred in 4 of the 6 patients.The 3 patients were mild pneumothorax,and the compressed area of lung tissue was not large,not more than 15%.Conclusion:In CT guided percutaneous lung biopsy for the diagnosis of patients with pulmonary space occupying lesions,it has important research value for patients with pulmonary space occupying lesions,with the characteristics of high safety,relatively high puncture diagnosis rate,uncomplicated operation,and can provide reliable data for medical students to make accurate clinical diagnosis.
作者
苏全志
SU Quan-zhi(Xingcheng People’s Hospital,Liaoning Huludao 125100)
出处
《中国医疗器械信息》
2022年第22期83-85,共3页
China Medical Device Information
关键词
肺部占位性病变
临床诊断
并发症
安全性
lung space-occupying lesions
clinical diagnosis
complications
safety
