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肺内肿块的诊断及鉴别诊断在临床上十分常见。CT引导下肺穿刺(活检)术是目前诊断肺内肿块的主要方法之一。该方法主要通过CT扫描确定进针点及引导进针,抽出细胞组织行病理诊断,适用于周围型肺肿块及不能或不愿行纤维支气管镜检查的中央型肺肿块。此方法目前在临床上应用广泛,穿刺成功率、准确度及敏感度高,不良反应少。随着CT扫描技术的提高、立体定位技术的应用及病理学的发展,CT引导下肺穿刺(活检)术有望进一步推广应用。
Diagnosis and differential diagnosis of lung mass is clinically very common. CT-guided lung biopsy (biopsy) is currently one of the main methods of diagnosis of lung mass. The method mainly through the CT scan to determine the needle point and guide the needle, remove the cell line pathological diagnosis, suitable for peripheral lung mass and can not or do not want to line fiberoptic bronchoscopy central lung mass. This method is currently widely used clinically, puncture success rate, accuracy and sensitivity, adverse reactions. With the improvement of CT scanning technology, the application of stereotactic technique and the development of pathology, CT-guided lung biopsy is expected to be further applied.