西南国防医药Issue(6)：636-638,3.DOI:10.3969/j.issn.1004-0188.2015.06.022
CT引导经皮肺穿刺活检对肺部病变的诊断价值
张树荣 1陈洁 1杨清霞 1郭守福 1郭章坤 1严睿1
作者信息
- 1. 650023昆明，成都军区昆明总医院北较场病区综合内科，)，医学影像科
- 折叠
摘要
Abstract
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.关键词
CT引导/活检/肺部病变/诊断/并发症Key words
CT guided/biopsy/pulmonary lesions/diagnosis/complications分类
医药卫生引用本文复制引用
张树荣,陈洁,杨清霞,郭守福,郭章坤,严睿..CT引导经皮肺穿刺活检对肺部病变的诊断价值[J].西南国防医药,2015,(6):636-638,3.
