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目的评估CT引导下经皮肺穿刺活检对肺周围型病变的诊断价值与安全性。方法肺周围型病变的177例住院患者，胸部CT检查均发现肺周围型病变，气管镜检查均大致正常。所有患者均行CT引导下经皮肺穿刺活检，采用组织细胞学方法检测，必要时联合免疫组织化学检测以进一步完善诊断。结果177例肺周围性肿块均穿刺成功，其中168例取得了明确的病理诊断结果：肺癌109例，肺结核21例，慢性炎症37例，韦格纳肉芽肿1例。气胸发生率为8.5%，咯血发生率为6.8%，经治疗后并发症好转，病情稳定。结论CT引导下肺穿刺活检对肺周围病变定性诊断的准确性较高、安全可靠。
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CT引导经皮肺穿刺活检对肺周围型病变的诊断价值与安全性▲
Diagnostic value and safety of CTguided percutaneous puncture biopsy in diagnosis of peripheral pulmonary disease
微创医学 201401期 页码：40-42
作者机构：(1 广西金秀县人民医院内科,金秀县545700;2 广西壮族自治区人民医院呼吸内科,南宁市530021;3 广西防城区人民医院内科,防城港市533000)
基金信息：▲基金项目：广西区卫生厅科研课题（编号：桂卫z2013 3312）作者简介：韦莉（1978～），女，学士，主治医师，研究方向：呼吸内科疾病的诊治。*通讯作者
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ObjectiveTo evaluate the security and value of CT guided percutaneous puncture biopsy in the diagnosis of peripheral pulmonary disease. MethodsOne hundred and seventy seven patients with peripheral pulmonary disease diagnosed by CT scanning, and with a normal result under fibrobronchoscopy, were enrolled in the study. Patients were performed with CTguided percutaneous puncture biopsy and cytological analysis, and combined with immunohistochemical analysis if necessary for further diagnosis.ResultsAll 177 patients successfully underwent biopsy, in which 168 cases were pathologically definitive diagnosed: 109 cases were bronchogenic carcinoma, 21 cases were pulmonary tuberculosis, 37 cases were chronic inflammation. After the biopsy, 8.5% of the patients got a pneumothorax, and 6.7% got a hemoptysis, which were improved and stable after treatment.ConclusionCTguided percutaneous puncture biopsy is highvalued and safe in the diagnosis of peripheral pulmonary disease
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