临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2014年
6期
681-682
,共2页
超声与CT引导%经皮肺穿刺%活检
超聲與CT引導%經皮肺穿刺%活檢
초성여CT인도%경피폐천자%활검
Ultrasound and CT guidance%Percutaneous lung puncture%Biopsy
目的：探讨超声与CT引导下经皮肺穿刺活检肺内病灶在临床中的应用。方法回顾性分析63例经皮肺穿刺活检肺内病灶的患者资料，根据病灶部位的不同，采用超声或CT引导下穿刺活检。经病理明确诊断61例。结果63例患者超声引导穿刺14例， CT引导穿刺49例。穿刺后结果示：恶性肿瘤共48例，其中原发性肺癌41例(鳞癌17例、腺癌21例、未分化癌3例)，由其他部位或器官转移性肿瘤6例，胸膜间皮瘤4例(良性3例，恶性1例)，诊断为结核者2例，炎性假瘤8例，不能明确诊断2例。穿刺活检诊断准确率为96.8%，均未出现危及生命的严重并发症。结论超声与CT引导下经皮肺穿刺活检是一种安全性高、确诊率高的方法，对于肺内病灶良恶性的鉴别有重要的意义。根据病灶部位的不同正确选地择超声或CT引导，利用其各自的优势，不仅可以提高安全性和准确性、还可以减少并发症，具有较高的临床应用价值。
目的：探討超聲與CT引導下經皮肺穿刺活檢肺內病竈在臨床中的應用。方法迴顧性分析63例經皮肺穿刺活檢肺內病竈的患者資料，根據病竈部位的不同，採用超聲或CT引導下穿刺活檢。經病理明確診斷61例。結果63例患者超聲引導穿刺14例， CT引導穿刺49例。穿刺後結果示：噁性腫瘤共48例，其中原髮性肺癌41例(鱗癌17例、腺癌21例、未分化癌3例)，由其他部位或器官轉移性腫瘤6例，胸膜間皮瘤4例(良性3例，噁性1例)，診斷為結覈者2例，炎性假瘤8例，不能明確診斷2例。穿刺活檢診斷準確率為96.8%，均未齣現危及生命的嚴重併髮癥。結論超聲與CT引導下經皮肺穿刺活檢是一種安全性高、確診率高的方法，對于肺內病竈良噁性的鑒彆有重要的意義。根據病竈部位的不同正確選地擇超聲或CT引導，利用其各自的優勢，不僅可以提高安全性和準確性、還可以減少併髮癥，具有較高的臨床應用價值。
목적：탐토초성여CT인도하경피폐천자활검폐내병조재림상중적응용。방법회고성분석63례경피폐천자활검폐내병조적환자자료，근거병조부위적불동，채용초성혹CT인도하천자활검。경병리명학진단61례。결과63례환자초성인도천자14례， CT인도천자49례。천자후결과시：악성종류공48례，기중원발성폐암41례(린암17례、선암21례、미분화암3례)，유기타부위혹기관전이성종류6례，흉막간피류4례(량성3례，악성1례)，진단위결핵자2례，염성가류8례，불능명학진단2례。천자활검진단준학솔위96.8%，균미출현위급생명적엄중병발증。결론초성여CT인도하경피폐천자활검시일충안전성고、학진솔고적방법，대우폐내병조량악성적감별유중요적의의。근거병조부위적불동정학선지택초성혹CT인도，이용기각자적우세，불부가이제고안전성화준학성、환가이감소병발증，구유교고적림상응용개치。
Objective To explore the clinical application of ultrasound and CT-guided percutaneous lung puncture biopsy in lung lesions. Methods The clinical data of 63 patients with percutaneous lung puncture biopsy in lung lesions was retrospectively analyzed. Based on the lesion site, puncture was made with the aid of ultrasound or CT. 61 cases were pathologically diagnosed. Results Among 63 patients, 14 cases underwent ultrasound-guided puncture, and 49 cases underwent CT-guided puncture. Malignant tumor was discovered in 48 cases, including 41 cases of primary lung cancer (17 cases of squamous cell carcinoma, 21 cases of adenocarcinoma, 3 cases of undifferentiated carcinoma), 6 cases of metastatic tumors from other parts or organs, 4 cases of pleura mesothelioma (3 benign and 1 malignant), 2 cases of tuberculosis, 8 cases of inflammatory pseudotumor. And 2 cases could not be diagnosed. The accuracy of biopsy diagnostic was 96.8%, and no life-threatening serious complications occurred. Conclusions Ultrasound and CT-guided percutaneous lung puncture biopsy is a safe, effective and significant diagnostic method for the identification of benign and malignant lung lesions. Correctly selecting ultrasound or CT guidance according to the site of the lesion can not only improve the safety and accuracy, but also reduce complications, which has great clinical value.
