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目的探讨CT引导下经皮活检穿刺技术(CT-GBLB)在肺部占位性病变诊断中的应用价值。方法选取2011年6月—2014年6月在梧州市红十字会医院行CT-GBLB患者共计68例,观察患者穿刺后病理结果 ,计算其灵敏度、特异度及检出率;并观察患者术后并发症情况。结果病理结果共计51例阳性结果 ,11例阴性结果 ,未确诊6例。经后期手术或者相关治疗、随访证实,51例阳性结果患者均为恶性肿瘤,11例阴性结果中1例患者穿刺结果报道为炎性细胞,手术证实为腺癌。CT-GBLB诊断的灵敏度为98.08%,特异度为100.00%,检出率为91.18%。术后11例患者(16.18%)出现穿刺部位出血,1例(1.47%)出现咯血,8例(11.76%)出现气胸;患者并发症经治疗均痊愈。结论 CT-GBLB在肺部占位性病变诊断中灵敏度高、特异度高、检出率高及并发症少,有很高的应用价值。
Objective To investigate the value of CT-guided percutaneous biopsy (CT-GBLB) in the diagnosis of pulmonary space-occupying lesions. Methods A total of 68 CT-GBLB patients in Wuzhou Red Cross Hospital were selected from June 2011 to June 2014. The pathological results after puncture were observed and the sensitivity, specificity and detection rate were calculated. Complications. Results A total of 51 cases of pathological results positive results, 11 cases of negative results, 6 cases were not diagnosed. After surgery or related treatment, follow-up confirmed that 51 patients with positive results were malignant tumors, negative results in 11 cases of puncture results reported as inflammatory cells, surgery confirmed as adenocarcinoma. The diagnostic sensitivity of CT-GBLB was 98.08%, the specificity was 100.00%, and the detection rate was 91.18%. Hemorrhage occurred at the puncture site in 11 patients (16.18%) after operation. Hemoptysis occurred in 1 case (1.47%) and pneumothorax in 8 cases (11.76%). All the complications were cured. Conclusion CT-GBLB has high sensitivity, high specificity, high detection rate and few complications in the diagnosis of pulmonary space-occupying lesions.