CT-guided percutaneous biopsy of chest lesions.docVIP

 PAGE \* MERGEFORMAT 10 CT-guided percutaneous biopsy of chest lesions [Abstract] Objective: To evaluate the chest lesions the accuracy of CT-guided percutaneous technique, the puncture technique, complications. Methods: March 2001 - April 2004 to 52 cases of percutaneous puncture in patients with chest. Results: 52 patients with malignant tumors in 38 cases, puncture confirmed 35 cases, 22 cases of surgery, 21 patients with surgical pathology consistent, no false-positive; 15 cases of benign lesions. Confirmed by surgery and follow-up, there are four cases of false negative and false-negative rate of 8% (4 / 52). Positive and negative predictive value were 100% (34/34) and 76% (13/17). A total of nine cases of pneumothorax occurred, accounting for 17% (9 / 52), no intubation handle. 8 cases of lung bleeding, 3 cases of hemoptysis. Conclusion: CT-guided percutaneous puncture the chest have a higher accuracy, lower complications, should the lesion and the puncture method of choice puncture position. [Keywords:] Tomography; X-ray computed; biopsy; needle aspiration; nodule; chest The diagnosis of chest lesions There are several methods, such as traditional X ray, CT, MR and so on, including CT, MR enhancement and the enhanced dynamic scan [1,2], qualitative diagnosis of certain limits. Bronchoscopy of central type lung cancer (cavity type) sensitivity as high as 92% ~ 96%, but even the right peripheral bronchial cavity lesions decreased sensitivity of only 25% ~ 78% [1], on the diameter of the smaller the value of smaller lesions. CT-guided needle biopsy lung lesions is a safe, accurate and efficient diagnosis and differential diagnosis method [3]. 1 Data and methods 1.1 General Information Selected from March 2001 ~ April 2004 52 cases of percutaneous puncture in patients with chest. 36 cases were male, female 16 cases. Age 22 to 82 years, with an average 57.8 years of age. Nodule diameter of the smallest 1.5cm, nodule diameter 8.7cm, an average of 5.0