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目的:探讨CT导引下经皮穿刺切割活检对胸部肿块的诊断价值。方法:回顾性分析2003年2月-2012年2月85例胸部肿块患者行CT导引下经皮穿刺切割活检术的临床资料。结果:经皮穿刺切割活检组织经病理学诊断85例,穿刺活检诊断恶性肿瘤的灵敏度为95.9%、特异度为100%,阳性预测值为100%,阴性预测值为80%,穿刺活检诊断正确率为95.3%。气胸发生率为9.4%,出血发生率为3.5%。结论:CT导引下经皮穿刺切割活检诊断正确率高,并发症轻,是一种安全准确的检查方法。
Objective: To investigate the diagnostic value of CT-guided percutaneous transcutaneous biopsy on thoracic masses. Methods: The clinical data of 85 patients with thoracic mass who underwent CT guided percutaneous biopsy from February 2003 to February 2012 were analyzed retrospectively. Results: The pathological diagnosis of percutaneous biopsy in 85 cases of biopsy, biopsy diagnosis of malignant tumor sensitivity was 95.9%, specificity was 100%, the positive predictive value was 100%, the negative predictive value was 80%, biopsy diagnosed correctly The rate is 95.3%. Pneumothorax incidence was 9.4% and bleeding was 3.5%. Conclusion: CT-guided percutaneous biopsy is a safe and accurate method for diagnosis of high accuracy and light complications.