CT引导下经皮肺穿刺活检的回顾分析（附178例报道）

目的回顾CT引导下同轴活检肺部病变,分析活检确诊率及并发症情况。方法回顾2011年7月—2014年6月间共178例经皮肺穿刺活检术,分析诊断成功率、病理学结果及气胸、出血等并发症发生率。结果本组病例中,行1次穿刺176例（98.9%）,行2次穿刺2例（1.1%）;明确病理诊断共170例（95.5%）,其余8例（4.5%）结果为坏死组织或肺组织。并发症包括气胸35例（19.7%）,行胸腔闭式引流6例（3.4%）;出血23例（12.9%）;血气胸2例（1.1%）,其中1例行予输血及胸腔闭塞引流,另外1例行外科手术止血;无死亡病例。结论 CT引导下肺穿刺活检操作简单、准确性高,应注重技术细节,进一步提高安全性。

Retrospective Analysis of 178 Cases of CT-guided Percutaneous Lung Biopsy

Objective To analyze the diagnostic effectiveness and complications of CT-guided percutaneous lung biopsy retro- spectively. Methods From July 2011 to June 2014, 178 cases of percutaneous CT-guided lung biopsy were reviewed, including rate of pathologic dianosis, pathologic results, and complications. Results 176 cases （98.9%） had 1 biopsy, and 2 cases （1.1%）, 2 biopsies. 170 had successfully pathologic diagnosis, while the other 8 were reported as necrosis or normal lung.The complications included pneumothorax （35 cases, 19.7%）, bleeding （23 cases,12.9%） and hemopneumothorax （2 caseS, 1.1%）. Conclusions CT- guided percutaneous biopsy was a simple procedure with high accuracy. Technical skills should be improved as for safety con- Cems.