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近年来,由于CT、电视透视X光机等影像设备的发展和肺穿刺针的改进,以及细胞学诊断水平的提高,经皮肺穿刺已成为胸部介入放射学的一个主要分支。我们不仅利用电视电透导向经皮肺穿刺吸取活检,对肺部病变作鉴别诊断,还经皮肺穿刺注射抗癌药物治疗肺癌。从1989年3月到1993年3月,作者对43例肺部病变进行了穿刺吸取活检,现分析报告如下: 临床资料一、肺穿刺适应证:(1)肺原发性良、恶性肿瘤;(2)肺部转移性肿瘤;(3)肺部良性局限性病变;(4)痰细胞学、支气管检查无法确诊的肺部疾病和久治不愈的肺部疾病。肺穿刺禁忌证:(1)有出血倾向的病人;(2)怀疑为血管性病变,如动静脉血管畸形和动脉瘤(包括结核性空涧壁动脉扩张的Rasmussen动脉瘤);(3)进展性肺气肿,肺纤
In recent years, percutaneous lung puncture has become a major branch of chest interventional radiology due to the development of imaging equipment such as CT and telescope X-ray machines, improvement of pulmonary puncture needles, and improvement of cytological diagnosis. We not only use television electrotransport-guided percutaneous lung biopsy for biopsy, but also differential diagnosis of pulmonary lesions, and percutaneous lung puncture injection of anticancer drugs for lung cancer. From March 1989 to March 1993, the author conducted a puncture and biopsy of 43 cases of lung lesions. The analysis report is as follows: Clinical data 1. Lung puncture indications: (1) primary benign and malignant lung diseases; (2) metastatic lung tumors; (3) benign lung lesions; (4) sputum cytology, bronchoscopy can not be diagnosed with lung disease and long-standing untreated lung disease. Pulmonary puncture contraindications: (1) patients with bleeding tendency; (2) suspected vascular lesions, such as arteriovenous malformations and aneurysms (including Rasmussen aneurysm with tuberculous dilatation of the empty iliac artery); (3) Progression Emphysema, pulmonary fibrosis