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目的:探讨CT引导经皮肺穿刺活检在胸部病变诊断中的价值。材料和方法:2002年3月~2005年12月CT引导下经皮肺穿刺活检39例。依据手术病理和临床追随结果对活检病变作出最后诊断。结果:39例胸部病变均有最终临床诊断结果,穿刺活检诊断的正确率为94.8%(37/39),并发症包括气胸2例,肺实质少量出血2例。结论:CT引导下经皮穿刺活检是一种安全、准确、有效的诊断及鉴别诊断方法。
Objective: To investigate the value of CT guided percutaneous lung biopsy in the diagnosis of chest lesions. Materials and Methods: From March 2002 to December 2005, CT guided percutaneous pulmonary biopsy in 39 cases. According to the surgical pathology and clinical follow-up results to make the final diagnosis of biopsy lesions. Results: The final clinical diagnosis results were obtained in all 39 cases of thoracic lesions. The diagnostic accuracy of biopsy was 94.8% (37/39). Complications included pneumothorax in 2 cases and pulmonary parenchymal hemorrhage in 2 cases. Conclusion: CT guided percutaneous biopsy is a safe, accurate and effective diagnostic and differential diagnosis.