CT引导下经皮肺穿刺活检定性孤立性肺结节在基层医院推广应用的初步探讨

doi:10.3969/j.issn.1671-7171.2022.07.029

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摘要【目的】探讨基层医院CT引导下经皮肺穿刺活检对孤立性肺结节定性诊断的可行性。【方法】回顾性收集2016年5月至2021年6月经本院计算机断层扫描(computed tomography,CT)诊断为孤立性肺结节并行CT引导下经皮肺穿刺活检的127例患者的临床资料,分析基层医院CT引导下经皮肺穿刺活检术对孤立性肺结节定性诊断的可行性及确诊率。【结果】127个结节,其中实性结节98个,混合磨玻璃结节23个,纯磨玻璃结节6个。结节大小分布在1.5~3.0 cm之间,平均直径(2.33±0.25)cm。在CT引导下经皮肺穿刺活检成功率为 100%。 125 例经皮肺穿刺活检确诊,确诊率为 98.43%,其中恶性肿瘤105例(82.68％),包括鳞癌60例,腺癌35例,腺鳞癌4例,未分化癌3例,小细胞神经内分泌癌3例;良性病变20例(15.75％),其中炎性结节9例,结核8例,真菌3例;未确诊的2例(1.57％)。【结论】CT 引导下经皮肺穿刺活检术对孤立性肺结节定性确诊率高,且操作简单,具有微创、安全性高、成功率高及并发症少等优点,基层医院值得推广应用。

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关键词 ：结节病,肺/影像诊断, 体层摄影术, X线计算机, 活组织检查

Abstract：【Objective】 To explore the feasibility of CT guided percutaneous lung biopsy in the qualitative diagnosis of solitary pulmonary nodules in the country-level hospitals. 【Methods】 A total of 127 patients with solitary pulmonary nodules diagnosed by computed tomography (CT) and CT guided percutaneous lung biopsy in our hospital from May 2016 to June 2021 were retrospectively collected, and the feasibility and diagnostic rate of CT guided percutaneous lung biopsy in primary hospitals were analyzed and summarized. 【Results】There were 127 nodules, including 98 solid nodules, 23 mixed ground glass nodules and 6 pure ground glass nodules. The size of nodules ranged from 1.5 to 3.0 cm, with an average diameter of (2.33±0.25) cm. The success rate of CT guided percutaneous lung biopsy was 100%. 125 cases were confirmed by percutaneous lung biopsy, with a diagnostic rate of 98.43%, including 105 cases of malignant tumors (82.68%), including 60 cases of squamous cell carcinoma, 35 cases of adenocarcinoma, 4 cases of adenosquamous carcinoma, 3 cases of undifferentiated carcinoma, and 3 cases of small cell neuroendocrine carcinoma; There were 20 cases of benign lesions (15.75%), including 9 cases of inflammatory nodules, 8 cases of tuberculosis and 3 cases of fungi; Two cases (1.57%) were not diagnosed. 【Conclusion】CT guided percutaneous lung biopsy has a high qualitative diagnosis rate for solitary pulmonary nodules, and it is simple to operate, minimally invasive, high safety, high success rate and few complications. It is worth popularizing in the country-level hospitals.

Key words： Sarcoidosis, Pulmonary/DG Tomography, X-Ray Computed Biopsy

收稿日期: 2022-04-11

中图分类号:

R814.42

引用本文:

喻红, 易群峰. CT引导下经皮肺穿刺活检定性孤立性肺结节在基层医院推广应用的初步探讨[J]. 医学临床研究, 2022, 39(7): 1065-1067.
YU Hong, YI Qun-feng. Clinical Application of CT Guided Percutaneous Lung Biopsy in Qualitative Diagnosis of Isolated Pulmonary Nodules for the Country-level Hospitals. JOURNAL OF CLINICAL RESEARCH, 2022, 39(7): 1065-1067.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2022.07.029 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2022/V39/I7/1065

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