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目的:探讨C臂引导下经皮肺内结节病灶穿刺活检的临床应用价值。方法:回顾性分析20例肺内结节病变C臂引导下经皮肺穿刺活检的技术方法,就如何提高穿刺准确性及影响诊断准确率的因素进行讨论。结果:20例中,穿刺成功率100%,活检诊断准确率为18/20(90%)。6例发生轻度气胸,1例穿刺后咯血痰。结论:C臂引导下经皮肺穿刺活检术是安全的,可有效提高肺内结节病变的诊断准确性。C臂引导下肺内结节穿刺活检术具有微创、安全、直接、有效、定位准确,特别是对于肺内活动性大的肺内小结节定性诊断有非常大的帮助。
Objective: To investigate the clinical value of C-arm guided percutaneous pulmonary nodule biopsy. Methods: A retrospective analysis of 20 cases of pulmonary nodular lesions C-arm guided percutaneous lung biopsy techniques to improve the puncture accuracy and the impact of diagnostic accuracy of the factors are discussed. Results: In 20 cases, the puncture success rate was 100% and the biopsy accuracy was 18/20 (90%). 6 cases of mild pneumothorax, 1 case of hemoptysis after punctate sputum. Conclusion: C-arm guided percutaneous lung biopsy is safe and can effectively improve the diagnostic accuracy of pulmonary nodules. C-arm guidance of pulmonary nodules biopsy with minimally invasive, safe, direct, effective, accurate positioning, especially for pulmonary lung nodules large active qualitative diagnosis is very helpful.