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目的对CT引导下肺穿刺活检术的安全性、精确性和高效性做出客观评估。方法总结山东省淄博市临淄区人民医院从2006年5月至2009年5月,在CT引导下行肺穿刺活检64例患者,从操作方法及其成功率和并发症方面进行统计。结果穿刺成功率98%,并发症中气胸最高,约占18.8%,其他并发症如喀血、胸痛所占比例甚少。结论CT引导下肺穿刺活检技术组织损伤小、安全可靠、定位精确、成功率高,对肺部占位病变可及早做出准确的诊断,是一项值得在临床上推广的技术。
Objective To objectively evaluate the safety, accuracy and efficiency of CT-guided lung biopsy. Methods From June 2006 to May 2009, Linzi District People’s Hospital of Zibo City, Shandong Province, 64 patients underwent lung biopsy under CT guidance. Statistics were made on the operation method, success rate and complication. Results The success rate of puncture 98%, the highest incidence of complications in the pneumothorax, accounting for about 18.8%, other complications such as blood clots, chest pain accounted for a small proportion. Conclusion CT-guided lung biopsy has the advantages of less tissue damage, safety and reliability, accurate positioning, high success rate and accurate diagnosis of lung space occupying lesion as early as possible, which is worthy of clinical promotion.