| 摘要: |
| ［摘要］ 目的 探讨多层螺旋CT(MSCT)引导下经皮穿刺肺内非特征性占位病变活检术的临床应用价值。方法 回顾68例肺内非特征性占位病变患者行MSCT引导下穿刺活检术的操作方法和过程，分析检查结果和并发症发生情况。结果 68例MSCT引导下经皮穿刺活检术均顺利成功，无严重并发症发生，仅10例术后出现少量气胸等轻度并发症，经简单保守治疗后全部恢复。全组68例肺内非特征性占位病变的病理结果中非恶性病变38例，占55.9%。结论 肺内非特征性占位病变经病理确诊为非恶性者不在少数，该类病变及时确诊并正确治疗尤为重要，而利用MSCT的功能优势引导经皮肺穿刺活检术易于操作、结果可靠、并发症少，具有较高的临床应用价值。 |
| 关键词: X线计算机体层摄影术 肺内非特征性占位 穿刺活检术 |
| DOI：10.3969/j.issn.1674-3806.2013.03.17 |
| 分类号:R 445 |
| 基金项目: |
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| Clinical practice of MSCT-guided percuteneous puncture biopsy in intrapulmonary non characteristic occupying lesions |
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LIU Zheng
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Department of Radiology,the People’s Hospital of High New Technology Industrial Developing District of Weifang, Shandong 261205,China
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| Abstract: |
| ［Abstract］ Objective To explore the value of the clinical practice of MSCT-guided percuteneous pucture biopsy in intrapulmonary non characteristic occupying lesions.Methods The operating methods and processes of MSCT-guided percuteneous puncture biopsy were analyzed in 68 patients with intrapulmonary non characteristic occupying lesions.The results of examination and the complications were analyzed.Results MSCT-guided percuteneous puncture biopsy were performed smoothly and successfully.There was no complications among the 68 patients,only 10 of them had a little pneumothorax,and restored to health after a simple treatment.In about 55.9% of 68 cases of intrapulmonary non characteristic occupying lesions,the pathological findings showed the pathological changes of non-malignant lesions.Conclusion In more patients with intrapulmonary non characteristic occupying lesions.The pathological changes are non-malignance.It’s particularly important for them to make diagnoses and treatment,but the advantages of MSCT-guided percuteneous puncture biopsy include easy operation,more reliable result, and less complications and it has a higher clinical value. |
| Key words: X-ray computed tomography Intrapulmonary non characteristic occupying lesions Puncture biopsy |
