论文部分内容阅读
目的探讨CT引导下经皮肺穿刺针吸活检对周围型肺部病变的诊断价值。方法对CT显示肺部周围型病变,应用临床经验治疗,反复痰细胞学阴性,纤维支气管镜检查仍不能确诊的110例周围型肺部病变患者,在胸部CT引导下,行皮肺穿刺针吸活检。结果 110例患者肿瘤确诊率93.3%(84/90),良性病变确诊率80%(16/20),并发症气胸13.6%(15/110),咯血5.4%(6/110),胸疼18.2%(20/110),发热2%(2/110)。结论螺旋CT引导下经皮肺穿刺针吸活检对周围型肺部病变有较高的诊断价值。穿刺并发症可以防治。
Objective To investigate the diagnostic value of CT-guided percutaneous needle aspiration biopsy on peripheral pulmonary lesions. Methods Peripheral pulmonary lesions were observed in 110 patients with peripheral pulmonary disease. The patients were treated with clinical experience, repeatedly sputum cytology was negative, and bronchoscopy was still not available. 110 patients with peripheral pulmonary disease under CT guidance under the guidance of chest CT scalp Biopsy. Results The diagnosis rate of the tumors was 93.3% (84/90) in 110 patients, 80% (16/20) in benign diseases, 13.6% (15/110) in patients with pneumothorax, 5.4% (6/110) in hemoptysis, and 18.2 % (20/110), fever 2% (2/110). Conclusion Spiral CT-guided percutaneous needle aspiration biopsy has a higher diagnostic value for peripheral pulmonary lesions. Puncture complications can prevent and cure.