CAJ | 학술논문

探讨CT引导经皮肺穿刺活检对不明原因肺部病变的诊断价值和并发症。分析总结我院在2013年3月~2014年11月间收治的65例不明原因肺部病变的患者进行CT引导下经皮肺穿刺活检的临床资料，并结合文献进行复习。65例全部穿刺成功，64例(98.5%)明确诊断。其中肺部恶性肿瘤39例(60.0%)，肺结核9例(13.8%)，尘肺病5例(7.7%)，慢性非特异性炎症性病变5例(7.7%)，炎性假瘤3例(4.6%)，肺曲霉菌病、肺含铁血黄素沉着症及肺泡蛋白沉着症各1例(分别为1.5%)。未明确诊断的1例(1.5%)，患者病理检查示结缔组织增生。总的并发症发生率为15.4%(10/65)，气胸6例(9.2%)，痰中带血4例(6.2%)，肺少许出血2例(3.1%)，症状均较轻微。CT引导经皮肺穿刺活检对不明原因肺部病变确诊率高、安全、并发症少而轻微，是临床上一种比较实用的微创检查技术，值得进一步推广应用。
탐토CT인도경피폐천자활검대불명원인폐부병변적진단개치화병발증。분석총결아원재2013년3월~2014년11월간수치적65례불명원인폐부병변적환자진행CT인도하경피폐천자활검적림상자료，병결합문헌진행복습。65례전부천자성공，64례(98.5%)명학진단。기중폐부악성종류39례(60.0%)，폐결핵9례(13.8%)，진폐병5례(7.7%)，만성비특이성염증성병변5례(7.7%)，염성가류3례(4.6%)，폐곡매균병、폐함철혈황소침착증급폐포단백침착증각1례(분별위1.5%)。미명학진단적1례(1.5%)，환자병리검사시결체조직증생。총적병발증발생솔위15.4%(10/65)，기흉6례(9.2%)，담중대혈4례(6.2%)，폐소허출혈2례(3.1%)，증상균교경미。CT인도경피폐천자활검대불명원인폐부병변학진솔고、안전、병발증소이경미，시림상상일충비교실용적미창검사기술，치득진일보추엄응용。
To explore the diagnostic value of CT guided percutaneous lung biopsy for pulmonary lesions caused by unknown origins as well as the complications. The clinical data on 65 patients receiving CT guided percutaneous lung biopsy for pulmonary lesions caused by unknown origins from Mar. 2013 to Nov. 2014 in our hospital were summarized and analyzed, and the related references were reviewed. Punctures were carried out successfully in all 65 cases and definite diagnoses were made in 64 cases (98.5%), including malignant tumor in the lung in 39 cases (60.0%), pulmonary tuberculosis in nine cases (13.8%), pneumoconiosis in five cases(7.7%), chronic nonspecific inflammatory lesions in five cases (7.7%), inflammatory pseudotumor in three cases (4.6%), and pulmonary aspergillosis, pulmonary hemosiderosis and pulmonary alveolar proteinosis in one case, respectively (1.5%). Unclear diagnosis was made in one case (1.5%), where the pathological examination of the patient showed hyperplasia of connective tissue. The overall incidence of complications was 15.4%(10/65); pneumothorax occurred in six cases (9.2%), blood in sputum occurred in four cases (6.2%), and little pulmonary hemorrhage occurred in two cases (3.1%); the symptoms were mild. CT guided percutaneous lung biopsy for pulmonary lesions has high diagnosis rate to pulmonary lesions caused by unexplained factors;with high safety and less complications, it is a kind of practical minimally invasive technique clinically and is worthy of further promotion and application.