CT guided percutaneous lung biopsy: manipulation technique discussion and analysis of complicationsGong

doi:10.3760/cma.j.issn.1673-422X.2014.11.021

Abstract

Abstract: ObjectiveTo explore the technique, complications and preventions of CT guided percutaneous lung biopsy in diagnosing lung neoplasms. Methods112 cases of lung neoplasms were performed CT guided percutaneous lung biopsy with shallow breathing. All pathological results and complications were recorded and then followed clinical followup. Results106 cases were diagnosed malignant tumors in the initial pathology and 6 cases nonmalignant tumor. After second biopsies of the 6 cases, 4 cases were confirmed malignant and 2 cases nonmalignant. Of the 2 “benign” cases, 1 was indicated malignant during followup. The pathological diagnosis accuracy rate was 95.54% (107/112) after the initial biopsies. 24 cases appeared pneumothorax, 8 cases hemoptysis or tumor hemorrhage, 1 cases pleural reaction. ConclusionCT guided lung biopsy is an ideal lung neoplasm diagnostic method with good tolerance, high diagnostic accuracy and less complications combined with shallow breathing, and it needs clear indications, wellregulated puncture technique, skilled operation with care.

Key words: Lung neoplasms, Tomography, spiral computed, Biopsy, Breathing exercise

GONG Wei-Hong, WANG Jun-Ye, ZHAO Hai-Yan, ZHANG Zhong-Min, ZHANG Chuan-Jian, YAN Li, CHEN Wen-Jun, SUN Li-Jun. CT guided percutaneous lung biopsy: manipulation technique discussion and analysis of complicationsGong[J]. Journal of International Oncology, 2014, 41(11): 869-872.

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