【摘要】 目的 探讨CT引导下经皮肺穿刺活检的技术要点及并发症。方法 采用COOK公司18～21G自动弹射活检枪，选择最佳层面、进针点、进针角度和深度，行多点取材。回顾性分析59例肺内病变CT引导下经皮肺穿刺活检术。结果穿刺成功率100%，活检诊断准确率为92%(54/59)。3例发生轻度气胸，2例穿刺后咯血痰。结论 CT引导下经皮肺穿刺活检术成功率高，是安全的，但操作医生熟练的技术方法非常重要，并可以减少并发症的发生。

    【关键词】 肺疾病；计算机断层摄影；穿刺；并发症

    The main points and complications of CT-guided percutaneous pneumocentesis

    PENG Yong-jun，YAN Jian-feng.

    Department of Radiology,Hospital of Traditional Chinese Medicine,Yangjiang 529500,China

    【Abstract】 Objective To evaluate the main points and complications of CT-guided percutaneous pneumocentesis in patients with lung lesions.Methods COOK 18～21G puncture needle was used to inserting aspiration in the optimal level,situs,angle and depth.And had made of multidrop.Fifty-nine patients with lung lesions underwent CT-guided percutaneous pneumocentesis and follow-up.Results The successful puncture rate was 100%,accurate diagnose rate was 92%(54/59).Conclusion CT-guided pneumocentesis for chest lesion is a efficient and safe diagnostic method.But it is important to improve the doctor′s operating skill to lessen vascular complication. ......