CAJ | 학술논문

目的：回顾CT引导下同轴活检肺部病变，分析活检确诊率及并发症情况。方法回顾2011年7月—2014年6月间共178例经皮肺穿刺活检术，分析诊断成功率、病理学结果及气胸、出血等并发症发生率。结果本组病例中，行1次穿刺176例（98.9%)，行2次穿刺2例（1.1%)；明确病理诊断共170例（95.5%)，其余8例（4.5%)结果为坏死组织或肺组织。并发症包括气胸35例（19.7%)，行胸腔闭式引流6例（3.4%)；出血23例（12.9%)；血气胸2例（1.1%)，其中1例行予输血及胸腔闭塞引流，另外1例行外科手术止血；无死亡病例。结论CT引导下肺穿刺活检操作简单、准确性高，应注重技术细节，进一步提高安全性。
목적：회고CT인도하동축활검폐부병변，분석활검학진솔급병발증정황。방법회고2011년7월—2014년6월간공178례경피폐천자활검술，분석진단성공솔、병이학결과급기흉、출혈등병발증발생솔。결과본조병례중，행1차천자176례（98.9%)，행2차천자2례（1.1%)；명학병리진단공170례（95.5%)，기여8례（4.5%)결과위배사조직혹폐조직。병발증포괄기흉35례（19.7%)，행흉강폐식인류6례（3.4%)；출혈23례（12.9%)；혈기흉2례（1.1%)，기중1례행여수혈급흉강폐새인류，령외1례행외과수술지혈；무사망병례。결론CT인도하폐천자활검조작간단、준학성고，응주중기술세절，진일보제고안전성。
Objective To analyze the diagnostic effectiveness and complications of CT-guided percutaneous lung biopsy retro-spectively. Methods From July 2011 to June 2014, 178 cases of percutaneous CT-guided lung biopsy were reviewed, including rate of pathologic dianosis, pathologic results, and complications. Results 176 cases (98.9%) had 1 biopsy, and 2 cases (1.1%), 2 biopsies. 170 had successfully pathologic diagnosis, while the other 8 were reported as necrosis or normal lung.The complications included pneumothorax (35 cases, 19.7%), bleeding (23 cases,12.9%) and hemopneumothorax (2 cases, 1.1%). Conclusions CT-guided percutaneous biopsy was a simple procedure with high accuracy. Technical skills should be improved as for safety con-cerns.