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目的探讨CT引导下经皮肺穿刺活检临床应用价值及其安全性。方法对56例CT透视引导下经皮肺穿刺获取肺内病变部位病理标本和安全性进行分析。结果55例穿刺成功98.2%(55/50)对肺部恶性病变病理诊断正确率96%(49/51),良性病变诊断准确率75%(3/4),1例穿刺失败1.78%(5/56),其中失败1例并发大咯血窒息死亡。结论CT引导下对肺内病变穿刺活检是一种相对安全有效,准确性高,对肺部病变定性诊断有重要意义,穿刺对患者有一定创伤,所照射剂量较大要严格选择穿刺适应证,掌握穿刺技巧,重视并发症预防。
Objective To investigate the clinical value and safety of CT guided percutaneous pulmonary biopsy. Methods Fifty-six cases underwent percutaneous pulmonary puncture under the guidance of CT fluoroscopy to obtain pathological specimens of lung lesions and their safety. Results The correct diagnosis rate of pathological diagnosis of lung malignant lesions was 96% (49/51) in 98 cases (55/50), 75% (3/4) in benign lesions, and 1.78% in 1 case / 56), of which 1 case of failure complicated by massive hemoptysis died of suffocation. Conclusion CT guided lung biopsy is a relatively safe and effective, high accuracy, qualitative diagnosis of pulmonary disease is important, puncture the patient has some trauma, the larger the dose to be shot to choose the puncture indications, Master puncture skills, attention to complications prevention.