CAJ | 학술논문

目的探讨CT引导下经皮穿刺肺活检术诊断肺占位的技术要领、并发症及预防.方法 112例肺占位患者配合“浅呼吸法”行CT引导下经皮穿刺肺活检术,取得病理组织送检,记录穿刺病理结果、并发症情况,并临床随访.结果 106例经穿刺病理证实为恶性肿瘤,6例初次病理未查见恶性病理组织,经再次穿刺4例证实恶性肿瘤,2例仍未查见恶性病理组织,经临床随访该2例患者中1例为恶性肿瘤,1例为良性肿瘤,首次病理诊断准确率95.54％ (107/112).24例出现气胸,8例咯血或肿瘤出血,1例出现胸膜反应.结论 “浅呼吸法”配合下CT引导肺穿刺活检术具有耐受性好、诊断准确率高、并发症少的优点,值得临床推广,需明确适应证,掌握穿刺技术要领,操作娴熟谨慎.
목적 탐토CT인도하경피천자폐활검술진단폐점위적기술요령、병발증급예방.방법 112례폐점위환자배합“천호흡법”행CT인도하경피천자폐활검술,취득병리조직송검,기록천자병리결과、병발증정황,병림상수방.결과 106례경천자병리증실위악성종류,6례초차병리미사견악성병리조직,경재차천자4예증실악성종류,2례잉미사견악성병리조직,경림상수방해2례환자중1례위악성종류,1례위량성종류,수차병리진단준학솔95.54％ (107/112).24례출현기흉,8례각혈혹종류출혈,1례출현흉막반응.결론 “천호흡법”배합하CT인도폐천자활검술구유내수성호、진단준학솔고、병발증소적우점,치득림상추엄,수명학괄응증,장악천자기술요령,조작한숙근신.
Objective To explore the technique,complications and preventions of CT guided percutaneous lung biopsy in diagnosing lung neoplasms.Methods 112 cases of lung neoplasms were performed CT guided percutaneous lung biopsy with shallow breathing.All pathological results and complications were recorded and then followed clinical follow-up.Results 106 cases were diagnosed malignant tumors in the initial pathology and 6 cases non-malignant tumor.After second biopsies of the 6 cases,4 cases were confirmed malignant and 2 cases non-malignant.Of the 2 "benign" cases,1 was indicated malignant during follow-up.The pathological diagnosis accuracy rate was 95.54％ (107/112) after the initial biopsies.24 cases appeared pneumothorax,8 cases hemoptysis or tumor hemorrhage,1 cases pleural reaction.Conclusion CT guided lung biopsy is an ideal lung neoplasm diagnostic method with good tolerance,high diagnostic accuracy and less complications combined with shallow breathing,and it needs clear indications,well-regulated puncture technique,skilled operation with care.