CT引导下经皮肺穿刺活检术在周围型肺癌诊断中的临床价值.docVIP

CT引导下经皮肺穿刺活检术在周围型肺癌诊断中的临床价值 　　doi：10.3969/j.issn.1007-614x.2014.16.74 　　摘 要 目的：探讨对周围型肺癌以CT引导下经皮肺穿刺活检术进行诊断所具有的临床价值。方法：2009年9月-2014年1月收治疑似周围型肺癌患者68例，随机分为观察组和对照组各34例。观察组以CT引导下经皮肺穿刺活检术方法对其进行诊断，对照组以支气管镜肺活检方法进行诊断，观察并比较两组患者的确诊率和并发症情况。结果：观察组的确诊率88.2%，对照组的确诊率47.1%，两组差异有统计学意义，P0.05。结论：对于周围型肺癌而言，利用CT引导下经皮穿刺活检术方法进行诊断，能够得到比较理想的效果，临床诊断准确率比较高，并且所出现的并发症比较低，为周围型肺癌的诊断提供准确的诊断依据，有着十分重要的临床价值。 　　关键词 周围型肺癌 CT引导下经皮肺穿刺活检术 临床价值 　　Clinical value of CT guided percutaneous puncture biopsy of the lung in the diagnosis of peripheral lung cancer 　　Deng Duanlian，Xiang Jie，Hu Changchao，Yao Wang 　　Radiological Department，the Peoples Hospital of Xuanhan County，Sichuan 636150 　　Abstract Objective：To explore the clinical value of CT guided percutaneous puncture biopsy of the lung in the diagnosis of peripheral lung cancer.Methods：68 cases with suspected peripheral lung cancer were selected from September 2009 to January 2014.They were randomly divided into the observation group and the control group with 34 cases in each.The observation group were diagnosed by CT guided percutaneous pulmonary biopsy method，while the control group were diagnosed by transbronchial lung biopsy method.We observed and compared the two groups with case diagnosis rate and complications.Results：At the completion of the diagnosis，the diagnosis rate of the observation group was 88.2%，and the diagnosis rate of the control group was 47.1%.The difference between the two groups was significant（P0.05）.Conclusion：For peripheral lung cancer，using CT guided percutaneous lung biopsy for diagnosis can obtain the ideal effect.The accuracy of clinical diagnosis is relatively high，and the complication rate is very low.It provides accurate diagnosis basis for peripheral lung cancer，and there are very important clinical values. 　　Key words Peripheral lung cancer；CT guided percutaneous puncture biopsy of the lung；Clinical value 　　在现代临床医学上，肺癌有着很高的发病率，并且呈现出增长趋势，严重影响患者的生活质量，严重威胁着人们的健康和生命。而周围型肺癌是肺癌中比较常见的一种，在肺癌中占有很高比例，对于该疾病，利用传统方法对其进行诊断，