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目的:探讨多层螺旋CT透视导引经皮肺结节穿刺活检的临床应用价值。方法:22例未经病理或影像确诊的肺结节行多层螺旋CT透视导引下穿刺活检。所有病例均行组织细胞学检查,分析穿刺活检的成功率、病理确诊率、以及穿刺的并发症。结果:22例患者中,经病理确诊恶性肿瘤12例(其中原发肿瘤10例,转移瘤2例),良性病变9例,一例因组织较少而无法完成病理诊断。并发气胸2例,未作特殊处理。结论:多层螺旋CT透视导引穿刺活检对肺结节的定性诊断具有重要的临床应用价值。
Objective: To investigate the clinical value of multi-slice spiral CT guided percutaneous pulmonary nodule biopsy. Methods: Twenty - two cases of pulmonary nodules without pathology or imaging confirmed by multi - slice spiral CT guided biopsy. All cases underwent histological examination, the success rate of biopsy, pathological diagnosis rate, and complications of puncture. Results: Twenty-two patients were pathologically diagnosed as malignant tumors (including 10 primary tumors and 2 metastatic tumors) and 9 benign lesions. One patient was diagnosed with pathological findings because of its small size. 2 cases of pneumothorax complicated with no special treatment. Conclusion: The multi-slice spiral CT fluoroscopy guided biopsy has important clinical value in the diagnosis of pulmonary nodules.