李斌 张晓华 周冰 高宇

    [摘要] 目的 探讨针对不同形态肺部病变患者行CT引导下经皮肺穿刺的价值与安全性。 方法 选择2018年3月～2020年4月于我院就诊的肺部病变患者58例，均行CT-PTLB，据影像学结果分为炎症型组(16例)与结节/肿块型组(42例)，比较诊断准确率、穿刺失败率及并发症发生率。 结果 炎症型组诊断准确率为81.25%，结节/肿块型组诊断准确率为95.24%，两组比较，差异无统计学意义(P>0.05);炎症型组穿刺失败率为12.50%，结节/肿块型组为0，两组比较，差异有统计学意义(P0.05)。 结论 CT引导下经皮肺穿刺可在不同形态的肺部病变中予以应用，安全可靠，值得推荐。

    [关键词] CT引导;经皮肺穿刺活检;肺部病变;安全性;不同形态

    [中图分类号] R445.3? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2020)34-0104-04

    [Abstract] Objective To explore the clinical value and safety of CT-guided percutaneous lung puncture in patients with different forms of lung disease. Methods A total of 58 patients admitted to our hospital from March 2018 to April 2020 were selected. All of them underwent CT-PTLB. According to imaging studies， they were divided into the inflammatory group (16 cases) and the nodule/mass group (42 cases). The diagnostic accuracy ......