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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58例肺周围性肿块进行经皮肺穿刺。结果:58例经肺周围性肿块穿刺活检均成功,均取得了明确的结果:肺癌50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1例。气胸发生率为6.9%,咯血发生率为3.4%,肺内出血为5.2%,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 on 58 cases of peripheral pulmonary masses under the guidance of spiral CT using a spring biopsy needle. Results: Fifty-eight cases of percutaneous pulmonary biopsy were successful. All of them achieved definite results: 50 cases of lung cancer, 3 cases of cancer, 1 case of tuberculosis, 1 case of lymphoma, 2 cases of inflammatory pseudotumor and inflammatory cells 1 case. Pneumothorax incidence was 6.9%, hemoptysis was 3.4%, intrapulmonary hemorrhage was 5.2%, were without special treatment, self-remission. Conclusion: Percutaneous pulmonary puncture guided by CT is accurate and safe in judging benign and malignant pulmonary masses.