CAJ | 학술논문

目的：观察C T引导不同肺穿刺活检的临床效果。方法收集2007年5月至2013年1月行C T引导下经皮穿刺肺活检101例患者的临床资料，其中男63例，女38例，年龄15～72岁，平均57岁。所有患者均行C T引导肺穿刺活检，统计分析57例采用自动活检枪含抽吸针（FN A ）与44例采用自动切割针插入带槽针芯（FNA＋Core）方法的诊断结果与并发症的发生率。结果 FNA术与FNA＋Core术恶性疾病诊断率分别为77．2％、65．9％，准确率分别为93．2％、95．5％；良性疾病诊断率分别为22．8％、34．1％，准确率分别为84．6％、86．7％。FNA＋Core术辅助诊断良性肺部病变的准确率明显高于FNA术（P＜0．05），两种方法的并发症发生率比较，差异无统计学意义（χ2＝0．68，P＝0．912）。结论经皮肺穿刺活检技术可通过FNA术与 FNA＋Core术获取标本；且后者辅助诊断良性肺部病变的准确率明显高于前者。
목적：관찰C T인도불동폐천자활검적림상효과。방법수집2007년5월지2013년1월행C T인도하경피천자폐활검101례환자적림상자료，기중남63례，녀38례，년령15～72세，평균57세。소유환자균행C T인도폐천자활검，통계분석57례채용자동활검창함추흡침（FN A ）여44례채용자동절할침삽입대조침심（FNA＋Core）방법적진단결과여병발증적발생솔。결과 FNA술여FNA＋Core술악성질병진단솔분별위77．2％、65．9％，준학솔분별위93．2％、95．5％；량성질병진단솔분별위22．8％、34．1％，준학솔분별위84．6％、86．7％。FNA＋Core술보조진단량성폐부병변적준학솔명현고우FNA술（P＜0．05），량충방법적병발증발생솔비교，차이무통계학의의（χ2＝0．68，P＝0．912）。결론경피폐천자활검기술가통과FNA술여 FNA＋Core술획취표본；차후자보조진단량성폐부병변적준학솔명현고우전자。
Objective To explore clinical effects of different methods of CT-guided puncturations for lung bi-opsies .Methods A total of 101 patients ,including 63 males and 38 females ,with age from 15 to 72 years old(average 57 years old) ,receiving CT-guided lung biopsies from May 2007 to January 2013 were enrolled .Among all patients , 57 cases were treated by fine needle aspiration (FNA) and 44 were treated with FNA+Core .Diagnosis and incidence of complications were compared between the two groups .Results The diagnostic rates of malignant in FNA group and FNA+Core group were 77 .2% and 65 .9% ,and the accurate diagnostic rates were 93 .2% and 95 .5% .The diag-nostic rates of benign lesions in FNA group and FNA +Core group were 22 .8% and 34 .1% ,and the accurate diag-nostic rates were 84 .6% and 86 .7% ,respectively .The accurate diagnostic rate of benign lesions in FNA + Core group was higher than FNA group(P<0 .05) ,but the difference of the incidence of complications between the two groups was not significant (χ2 =0 .68 ,P=0 .912) .Conclusion CT-guided lung biopsies might be able to be conduc-ted by FNA and FNA+Core technique ,and the latter could be more accurate for the diagnosis of benign lesions .