CT-guided percutaneous core needle biopsy diagnosis of pulmonary lesions.docVIP

 PAGE \* MERGEFORMAT 11 CT-guided percutaneous core needle biopsy diagnosis of pulmonary lesions [Abstract] Objective: To evaluate the CT-guided percutaneous core needle biopsy diagnosis of pulmonary lesions. Methods: 120 cases of patients with lung occupancy, line CT-guided percutaneous lung biopsy, respectively, histological examination and smear examination, 17 routine PCR  TB DNA and acid-fast bacillus. With pathological as the standard, the calculation of percutaneous lung biopsy positive rate, the success rate and the incidence of complications. Results: The positive rate of pathological findings puncture 84.2% (101/120), puncture success rate of 90.1% of cases (109/120). Complications: pneumothorax in 24 patients (20%), bleeding in 9 cases (5.3%), pneumothorax and hemorrhage in 3 cases (2.5%), hemoptysis in 10 cases (8.3%), than those in mild, no severe concurrent disease. Conclusion: CT-guided percutaneous lung biopsy is a safe, fast and accurate diagnosis. [Keywords:] pulmonary disease; X-ray computed; biopsy Diagnosis of pulmonary lesions on clinical and imaging has been a challenge. CT-guided percutaneous lung biopsy is a safe, fast and accurate diagnosis. Now in our hospital since 2003 has been made to carry out such an examination of 120 cases reported as follows. 1 Materials and methods 120 cases in men and 71 cases, female 49 cases. Age 19 years old to 81 years, with an average age of 46 years old. Lesion diameter of 1 cm ~ 8 cm. Location: 30 cases of right upper lung, right lung in 10 cases, 41 cases of right lower lung, left lung in 16 cases, the lower left lung in 23 cases, preoperative diagnosis are unclear. CT machine for the PQ-2000 helical CT, needle biopsy for the Japanese production of FIVE CORE needle, model 16 G ~ 18 G, length 10 cm ~ 15 cm. Routine preoperative CT scan, preoperative bleeding time, clotting time, platelet count and other routine examination. Rigorous screening indications, contraindications, and make the