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目的探讨CT引导下经皮肺活检对肺癌病理学诊断。方法回顾分析洛阳东方医院呼吸科自2008年11月至2010年9月收治的63例疑诊为肺占位患者,在CT引导下经皮肺活检。结果评估诊断率和并发症,入选63例CT引导下经皮肺活检,肺癌诊断率达92%(58/63),鳞癌24例,腺癌20例,小细胞未分化癌16例,大细胞癌3例,鳞腺癌2例。并发症气胸5例,咯血4例。结论 CT引导下经皮肺活检是一种安全性高、确诊率高、并发症相对低的方法。
Objective To investigate the pathological diagnosis of lung cancer by CT guided percutaneous lung biopsy. Methods Retrospective analysis of Luoyang Oriental Hospital Department of Respiratory from November 2008 to September 2010 admitted to 63 cases of suspected lung space occupying patients under CT-guided percutaneous lung biopsy. Results The diagnostic rates and complications were evaluated. Sixty-three CT-guided percutaneous lung biopsies were performed. The diagnostic rates of lung cancer were 92% (58/63), 24 were squamous cell carcinoma, 20 adenocarcinoma and 16 small cell undifferentiated carcinoma. 3 cases of cell carcinoma and 2 cases of squamous cell carcinoma. 5 cases of pneumothorax complications, 4 cases of hemoptysis. Conclusion CT-guided percutaneous lung biopsy is a safe, high-risk, and relatively low complication rate.