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目的总结计算机断层扫描(CT)定位下肺部团块状病变穿刺定性诊断的价值及安全性。方法观察分析30例经X线平片、CT、纤维支气管镜和常规痰细胞学检查均未能确诊的肺部团块状病变肺穿刺活检病例,应用精细活检针在CT定位下进行经皮穿刺活检技术。结果30例肺内团块状病变在CT定位下经皮穿刺,一次穿刺成功率100.0%,其中恶性病变27例,良性病变3例,并经手术和随诊证实,准确率达95%。穿刺后发生气胸1例,肺内出血1例,并发症发生率为6.7%。结论CT定位下肺部团块状病变穿刺定性诊断准确率高,诊断价值大,成功率高,并发症少,是一种安全的肺部团块状病变定性诊断的重要手段。
Objective To summarize the value and safety of qualitative diagnosis of massive lumbar mass lesions under computed tomography (CT). Methods Thirty cases of lung masses with lung mass lesions diagnosed by X-ray, CT, fiberoptic bronchoscopy and conventional sputum cytology were observed and analyzed. Percutaneous puncture Biopsy technique. Results Thirty cases of intrapulmonary mass lumps were percutaneously punctured by CT. The success rate of primary puncture was 100.0%, including 27 cases of malignant lesions and 3 cases of benign lesions. The accuracy was 95% after operation and follow-up. Puncture occurred after pneumothorax in 1 case, intrapulmonary hemorrhage in 1 case, the complication rate was 6.7%. Conclusion It is a safe way to diagnose lump mass lesions of lung mass with high accuracy, high diagnostic value, high success rate and few complications.