肺内周围性孤立性结节的CT引导下经皮肺穿刺活检的临床价值.pdfVIP

· 4262· 实用医技杂志2007年l1月第14卷第31期(旬刊) JPMT。Noverober．2007。Vo1．14，No．31(Issued Eve玎Ten D 肺内周围性孤立性结节的CT引导下 经皮肺穿刺活检的临床价值 鲁昌砺，刘四斌，刘沛武，周 进 张 芳 (华中科技大学同济医学院附属荆州医院，湖北荆州434020) [摘 要]目的：探讨CT引导下经皮肺穿刺活检术对肺内周围性孤立性结节的临床价值。方法：收集2004年3 月至2005年3月期间5O例肺内周围性孤立性结节行CT引导下经皮肺穿刺活检并经手术病理、临床治疗或随访观 察证实的资料。采用美国Cook公司的抽吸式活检针和套管式自动活检枪，选择最佳穿刺层面及穿刺点获取标本。结 果：5O例肺内周围性孤立性结节病灶中经手术病理、临床治疗或随访观察证实为肺癌38例(腺癌23例、鳞癌12例、 小细胞癌3例)、结核球8例，炎性假瘤4例。而CT引导下经皮肺穿刺活检诊断为肺癌36例(腺癌21例、鳞癌12例、 小细胞癌3例)、结核球8例，炎性假瘤6例。并发症有气胸5例(10．O％)、咯血3例(6．O％)、痰中带血2例(4． O％)。结论：cT引导下经皮肺穿刺活检为肺内周围性孤立性结节的明确诊断提供一种安全有效的检查方法，具有较 高的临床应用价值。 [关键词]结节；肺部；体层摄影；X线计算机；活组织检查；eft吸 [中图分类号]R655．3 [文献标识码]A [文章编号]1671-5098(2007)31-4262-03 The Clinical Value of Transthoracle Needle Biopsy of Peripheral nllmonary Solitary Nodules Under CT．Guided LU Chang—li，LIU Si—bin，LIU Pei—WH，ZHOU Jin，ZHANG Fang (The Affiliated flngzhou hospital of Tongji Medical College ofHuazhong University of Science and Technology，Jingzhou，Hubei 434020，China) Abstract：Objective To explore the clinical value of transthoracic needle biopsy of peripheral pulmonary solitary nodules under CT—guided．Methods 50 paitents(between March 2004 and march 2005)with peripheral pulmonary solitary nodules were collected，which were performed by pereutaneous transthoracic needle biopsy under CT—guided and were confimed by sur— ． gery pathology，clinical therapy or follow—up survey Aspirating needles and detachable biopsy gun had been used to choose the best lamella and point of puncture to get samples．Results The 50 cases were proved to be 38 cases of pulmonary carcinoma (23 cases of ad