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目的探讨CT引导下经皮胸部穿刺活检术的准确性及临床意义。方法78例胸部病变,其中肺部病变61例,胸膜病变9例,纵隔病变8例,在CT引导下行经皮胸部穿刺活检。结果穿刺成功率为93.5%。经穿刺活检并手术病理学确诊的肺部病变61例中,肺腺癌21例,鳞癌25例,肺转移瘤7例,结核8例;胸膜病变中胸膜间皮瘤3例,炎症6例;纵隔病变中胸腺瘤4例,结节病2例,淋巴瘤2例。并发气胸8例。结论CT引导下经皮胸部穿刺活检是一种安全、简单准确的诊断方法。
Objective To investigate the accuracy and clinical significance of CT guided percutaneous thoracentesis biopsy. Methods Totally 78 cases of thoracic lesions, including 61 cases of pulmonary lesions, 9 cases of pleural disease and 8 cases of mediastinal lesions, underwent CT percutaneous thoracentesis. Results puncture success rate was 93.5%. Pulmonary biopsy and pathological diagnosis of 61 cases of lung lesions, lung adenocarcinoma in 21 cases, squamous cell carcinoma in 25 cases, 7 cases of lung metastases, tuberculosis in 8 cases; pleural disease in pleural mesothelioma in 3 cases, inflammation in 6 cases ; Thymoma in mediastinal lesions in 4 cases, 2 cases of sarcoidosis, 2 cases of lymphoma. 8 cases of pneumothorax. Conclusion CT-guided percutaneous thoracentesis is a safe, simple and accurate diagnostic method.