目的探讨CT导向下弹簧式自动 活检针经皮肺穿刺活检术的临床应用价 值。方法 回顾性分析了2011年7月至2014 年11月入住我院的88例肺部占位病变患者 的临床资料，均行CT导向下弹簧式自动 活检针经皮肺穿刺活检术。对穿刺成功 率、病理学诊断结果及并发症发生情况 进行分析。结果 (1)本组88例患者中， 一次穿刺成功86例，一次穿刺成功率为 97.73%(86/88)；(2)病理组织学检查结 果：肺鳞癌35例，肺腺癌18例，小细胞肺 癌13例，结核球6例，结节病4例，炎性假 瘤6例，肺炎3例，错构瘤3例，病理学诊 断准确率为100.00%；(3)穿刺后出现8例 并发症，并发症发生率为9.09%(8/88)。 结论 CT导向下弹簧式自动活检针经皮肺 穿刺活检术用于诊断肺实质性占位病变， 安全、高效、风险低，应在临床上进行推 广、应用。

Objective To evaluate the clinical value of CT-guided biopsy needle spring automatic percutaneous biopsy of lung. Methods A retrospective analysis of the July 2011 to November 2014 in our hospital stay lung lesions clinical data of 88 cases of patients underwent CT-guided needle biopsy spring automatic percutaneous lung biopsy was given. On the success rate, pathological diagnosis and complications were analyzed. Results (1) In the group of 88 patients, the first 86 cases of successful puncture, puncture success rate was 97.73% (86/88); (2) histological findings: 35 cases of lung squamous cell carcinoma, 18 cases of lung adenocarcinoma small cell lung cancer, 13 cases of tuberculosis ball six cases, four cases of sarcoidosis, an inflammatory pseudotumor six cases, three cases of pneumonia, three cases of hamartoma, pathology diagnostic accuracy was 100.00%; (3) appear after puncture 8 cases of complications, complication rate was 9.09% (8/88). Conclusion CT-guided needle biopsy spring automatic percutaneous lung biopsy for the diagnosis of pulmonary lesions substantial, safe, efficient, low-risk, should be promoted in the clinical application.