【摘要】 目的 探讨CT引导下经皮穿刺活检对胸部病变诊断的应用价值。 方法 经皮胸部穿刺50例病变穿刺活检，其中肺部病变43例，纵隔病变3例，胸膜病变4例;经手术病检证实49例，1例穿刺活检未成功。 结果 穿刺活检成功49例，穿刺活检成功率98.0%，穿刺活检诊断准确率恶性病变为97.2%，良性病变为92.9%;并发少量气胸3例，中量气胸1例，少量气胸伴肺少量出血1例，并发症发生率10.0%。 结论 CT引导下经皮穿刺活检是安全、有效提高胸部病变诊断准确率的方法。

    关键词 CT引导 穿刺活检 胸部病变

    Evaluation of CT-guided percutaneous transthoracis biopsy in the diagnosis of pulmonary disease

    Zhu Xi，Yan Ronghua

    Department of Radiology，Loudi Central Hospital，Loudi417000.

    【Abstract】 Objective To explore the significance of biopsy by CT-guided percutaneous transthoracic in the diagnosis of pulmonary disease.Methods 50patients were detected by CT-guided percutaneous transthoracic biop-sy.Lesions were located in lung(n=43) ......