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目的探讨螺旋CT引导肺穿刺活检术在肺部肿块定性诊断中的临床应用价值。方法回顾性分析25例螺旋CT扫描发现肺部周围型肿块患者的临床资料。结果 25例均穿刺成功,13例确诊恶性肿瘤,7例炎症病变,2例结核,3例未获得明确病理诊断。穿刺后扫描发现其中3例出现气胸,压缩5%~10%,经卧床休息、吸氧后5 d内复查气胸消失。3例有咯血,咯血量在1~20 ml;经使用止血药1 d后症状缓解;未见气体栓塞、针道转移等并发症。结论螺旋CT引导下肺穿刺活检术在肺部肿块定性诊断中的应用是获取组织病理学诊断最为简单也是最为重要的一项手段,具有积极的临床推广、应用价值。
Objective To investigate the clinical value of spiral CT guided lung biopsy in the qualitative diagnosis of pulmonary masses. Methods The clinical data of 25 patients with peripheral pulmonary masses were analyzed retrospectively. Results All the 25 cases were punctured successfully, 13 cases were diagnosed as malignant tumor, 7 cases were inflammatory disease, 2 cases were tuberculosis. No definite pathological diagnosis was obtained in 3 cases. Puncture after the scan found that 3 cases of pneumothorax occurred, compressed 5% to 10%, after bed rest, oxygen check within 5 d pneumoperitoneum disappeared. 3 cases had hemoptysis, the amount of hemoptysis was 1 ~ 20 ml; 1 d after using the hemostatic symptom relief; no gas embolism, needle and other complications. Conclusion The application of spiral CT guided lung biopsy in the qualitative diagnosis of lung mass is one of the most simple and important methods to diagnose histopathology. It has a positive clinical application and clinical value.