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目的 总结CT导引下经皮肺穿刺的应用经验。方法 15例中 13例进行了穿刺活检 ,其中 11例使用抽吸针 ,2例使用活检枪 ,将穿刺物固定送检或 /和涂片 ;对 2例局限于纵隔的包裹积液进行穿刺抽吸 ,并送化验室检查。结果 13例穿刺活检 ,病理诊断为支气管肺癌 6例 ,转移癌 1例 ,炎症 4例 ,结核 2例 ;2例包裹积液穿刺抽吸化验结果 ,符合结核性渗出液。结论 CT导引下经皮肺穿刺活检安全、准确 ,是胸部疾病诊断和鉴别的有效方法 ,提高穿刺活检技术可以提高其准确率。
Objective To summarize the experience of CT guided percutaneous pulmonary puncture. Methods Twenty-three of the 15 patients underwent biopsy, of which 11 received aspiration needle and 2 received biopsy gun. The puncture was fixed for examination and / or smear. Two cases of puncture fluid confined to the mediastinum were punctured Suck, and sent to the laboratory examination. Results Thirteen biopsy specimens were pathologically diagnosed as bronchogenic carcinoma, bronchogenic carcinoma, and metastatic carcinoma in 4, 4 and 2 respectively. Conclusion Percutaneous pulmonary biopsy under CT guidance is safe and accurate. It is an effective method for the diagnosis and differential diagnosis of chest diseases. Improving the biopsy technique can improve the accuracy.