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目的:探讨螺旋CT引导下经皮肺穿刺术临床应用的价值。方法:应用弹簧式切割活检针在螺旋CT引导下对72例肺周围性肿块进行经皮肺穿刺。结果:72例肺周围性肿块穿刺活检成功,其中72例取得了明确结果:肺癌62例,找到癌细胞3例,结核1例,淋巴瘤1例,炎性假瘤2例,炎性细胞3例。气胸发生率为7.2%,咳血发生率为2.7%,肺内出血为6.02%均未经特殊处理,自行缓解。结论:螺旋CT引导下经皮肺穿刺术对肺内周围性肿块的良恶性的判断准确性高且安全。
Objective: To investigate the clinical value of percutaneous pulmonary puncture guided by spiral CT. Methods: Percutaneous pulmonary puncture was performed in 72 cases of perineural masses under the guidance of spiral CT with a spring biopsy needle. Results: Totally 72 cases of pulmonary peritumoral masses were successful in biopsy. Of the 72 cases, definite results were obtained in 72 cases: 62 cases of lung cancer, 3 cases of cancer cells, 1 case of tuberculosis, 1 case of lymphoma, 2 cases of inflammatory pseudotumor and 3 cases of inflammatory cells example. Pneumothorax incidence was 7.2%, hemoptysis incidence was 2.7%, intrapulmonary hemorrhage was 6.02% without special treatment, self-remission. Conclusion: Percutaneous pulmonary puncture guided by CT is accurate and safe in judging benign and malignant pulmonary masses.