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目的探讨CT引导下经皮肺穿刺活检病理诊断在肺部占位性病变诊断中的价值。方法选取2014年12月—2015年12月收治的肺部占位性病变患者72例,随机分为对照组和观察组各36例,对照组病变诊断采取痰脱落细胞学检查,观察组采取CT引导下经皮肺穿刺活检病理诊断,比较两组诊断阳性率及并发症发生情况,计数资料采用χ~2检验,P<0.05为差异有统计学意义。结果观察组诊断准确率91.7%(33/36),对照组诊断准确率为69.4%(25/36),两组比较差异有统计学的意义(χ~2=5.675,P<0.05)。观察组小细胞肺癌、非小细胞肺癌、腺癌及炎性假瘤诊断准确率比较差异均无统计学意义(均P>0.05)。结论 CT引导下经皮肺穿刺活检病理诊断应用在肺部占位性病变的诊断中的准确率高,并发症发生率低,可在临床推广应用。
Objective To investigate the value of CT guided percutaneous pulmonary biopsy in the diagnosis of pulmonary space occupying lesions. Methods Seventy-two patients with lung space-occupying lesions who were admitted from December 2014 to December 2015 were randomly divided into control group and observation group with 36 cases each. The control group was diagnosed by sputum cytology and the observation group was CT Guided by percutaneous lung biopsy pathological diagnosis, the positive rate of the two groups were compared with the incidence of complications, count data usingχ ~ 2 test, P <0.05 for the difference was statistically significant. Results The diagnostic accuracy of the observation group was 91.7% (33/36), and the diagnostic accuracy rate of the control group was 69.4% (25/36). The difference between the two groups was statistically significant (χ ~ 2 = 5.675, P <0.05). The diagnostic accuracy of small cell lung cancer, non-small cell lung cancer, adenocarcinoma and inflammatory pseudotumor in the observation group was not significantly different (all P> 0.05). Conclusion CT-guided percutaneous pulmonary biopsy in the diagnosis of pulmonary space-occupying lesions in the diagnosis of high accuracy, low incidence of complications, can be popularized in clinical application.