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目的:探讨CT引导下经皮穿刺活检术在艾滋病肺部病变中的应用、诊断价值及其暴露防护。方法:回顾性分析16例经皮肺穿刺活检的相关资料,男10例,女6例,平均年龄28.7岁;其中单个病灶7例,多发块影或结节影5例,大片实变影4例,合并纵隔淋巴结肿大4例,合并胸水3例。结果:所有病例均穿刺成功,16例患者行18例次穿刺,12例病例获得诊断,其中肺结核6例,真菌感染3例,细菌感染3例,诊断符合率66.7%;不能明确诊断4例。术后并发症:病灶周围出血5例,少量气胸3例。无医护人员暴露感染。结论:CT引导下经皮肺穿刺活检较为安全,有利于患者早期诊断,操作应严格预防暴露感染。
Objective: To explore the application of CT-guided percutaneous biopsy in the treatment of AIDS patients with pulmonary lesions, its diagnostic value and its protection. Methods: A retrospective analysis of 16 cases of percutaneous pulmonary biopsy related information, 10 males and 6 females, mean age 28.7 years; of which a single lesion in 7 cases, multiple episodes of block or nodules in 5 cases, large consolidation 4 Cases, mediastinal lymph node enlargement in 4 cases, combined pleural effusion in 3 cases. Results: The puncture was successful in all the cases. Twenty-six cases were punctured in 18 cases and 12 cases were diagnosed. Among them, 6 cases were pulmonary tuberculosis, 3 cases were fungal infection and 3 cases were bacterial infection. The diagnostic coincidence rate was 66.7%. Postoperative complications: 5 cases of bleeding around the lesion, a small amount of pneumothorax in 3 cases. No medical staff exposed the infection. Conclusion: CT-guided percutaneous lung biopsy is safe and is conducive to the early diagnosis of patients, the operation should be strictly prevented exposure to infection.