摘要
目的探讨多层螺旋CT引导下经皮同轴穿刺肺内病变的诊断价值。方法回顾性分析143例肺部占位病变患者行152次多层螺旋CT引导下同轴穿刺活检,并计算其阳性率及并发症的发生率。结果活检阳性率94.9%,特异度100%;其中恶性肿瘤116例(鳞癌48例、腺癌34、小细胞未分化癌6例、大细胞癌4例、肺泡癌8例、转移癌16例),19例良性病变,包括结核7例,炎性假瘤9例,错构瘤1例,肺脓肿1例和隐球菌肺炎1例。结论多层螺旋CT引导下经皮同轴穿刺活检诊断准确率高,是安全的经皮肺内活检方法。
Objective To evaluate the clinical application of multi-slice CT-guided percutaneous transthoracic lung coaxial-biopsy for pulmonary lesions.Methods 152 times of 143 patients were performed with percutaneous transthoracic coaxial biopsy under multiple-slice CT-guidance.Analysis was carried out to investigate the diagnostic accuracy and the relationship between the size of the lesions for coaxial biopsy,together with the complications.Results The diagnostic accuracy was 94.9% with specificity of 100%,including malignant tumors 116 cases（squamous cell cancer 48 cases,adenocarcinoma 34,small cell undifferentiated carcinoma 6,large cell carcinoma 4,bronchial alveolar carcinoma 8,metastatic carcinoma 16） and 19 cases of benign ones（TB 7 cases,inflammatory pseudotumor 9,hematoma 1,lung abscess 1）.The size of lesion had a significant influence on the diagnostic accuracy.Conclusions Percutaneous transthoracic coaxial lung biopsy is a safety method,possessing a high diagnostic accuracy.
出处
《介入放射学杂志》
CSCD
2008年第3期200-203,共4页
Journal of Interventional Radiology
