【摘要】目的：探讨螺旋CT引导下切割式经皮肺穿刺活检的临床应用价值。方法：回顾性分析我科进行的86例经皮肺穿刺活检病例，均为肺内或胸壁单发或多发肿块。结果：86例患者穿刺成功86例，明确诊断81例，其中肺鳞癌28例，肺腺癌45例，转移瘤3例，淋巴瘤1例，炎性假瘤3例，结核瘤1例；5例未做病理分类，只报告查见癌细胞。穿刺活检总确诊率为94.18%，发生气胸5例。讨论：螺旋CT引导下切割式经皮肺穿刺活检术操作简便、安全、费用低廉、检出阳性率高，并发症少，是一种值得推广的检查方法。

    【关键词】CT引导；穿刺；定性；肺部病灶

    【中图分类号】R978.1 【文献标识码】A 【文章编号】1008-6455(2011)12-0058-01

    CT guide with percutaneous pulmonary wear qualitative pulmonary lesions of clinical application

    Hu Huaqiang Wang Jun Li Daibing

    【Abstract】Objective:Explore spiral CT guided percutaneous cutting type lung biopsy value of clinical application.Methods:A total of 125 patients who had undergone CT-guided transthoracic fine-needle aspiration biopsy were retrospectively reviewed. All the patients had one or more tumors either in the lungs or on the chest wall.Results: 81 cases were diagnosed clearly ......