探讨CT引导下经皮肺穿刺活检术在肺部占位性病变中的诊断价值  

Exploration on diagnostic value of CT guided percutaneous lung biopsy in lung space-occupying lesion

作　　者：索洪祥 SUO Hong-xiang(Shenyang Coal Group General Hospital ,Shenyang 110122, China)

机构地区：[1]沈阳煤业集团总医院,110122

出　　处：《中国实用医药》2017年第9期47-49,共3页China Practical Medicine

摘　　要：目的探讨CT引导下经皮肺穿刺活检术在肺部占位性病变中的诊断价值。方法 52例肺部占位性病变患者,以随机抽签方式分为研究组及对照组,各26例。研究组采取CT引导下经皮肺穿刺活检术进行诊断,对照组采取超声引导下经皮肺穿刺活检术进行诊断。对比两组患者的一次性定位成功率、一次性活检成功率、并发症发生率及诊断准确率。结果研究组患者一次性定位成功率为92.31%,高于对照组的69.23%,差异具有统计学意义(χ~2=4.457,P=0.035<0.05)。研究组患者一次性活检成功率为100.00%,高于对照组的65.38%,差异具有统计学意义(χ~2=10.884,P=0.000<0.05)。研究组患者并发症发生率为7.69%,低于对照组的30.77%,差异具有统计学意义(χ~2=4.457,P=0.035<0.05)。研究组患者诊断准确率为96.15%,对照组诊断准确率为88.46%,对比差异无统计学意义(χ~2=1.083,P=0.298>0.05)。结论 CT引导下经皮肺穿刺活检术在肺部占位性病变中的诊断价值显著,对于肺部占位性病变的诊断准确性较高,定位准确,且对病灶的活检成功率较高,并发症少,值得推广应用于临床。Objective To explore the diagnostic value of CT guided percutaneous lung biopsy in lung space-occupying lesion. Methods A total of 52 lung space-occupying lesion patients were divided by random lottery method into research group and control group, with 26 cases in each group. The research group received CT guided percutaneous lung biopsy for diagnosis, and the control group received ultrasound guided percutaneous lung biopsy for diagnosis. Comparison were made on one-time success rate of positioning, one-time success rate of biopsy, incidence of complications and diagnostic accuracy rate in two groups. Results The research group had higher one-time success rate of positioning as 92.31% than 69.23% in the control group, and the difference had statistical significance（χ2=4.457, P=0.035〈0.05）. The research group had higher one-time success rate of biopsy as 100.00% than 65.38% in the control group, and the difference had statistical significance（χ2=10.884, P=0.000〈0.05）. The research group had lower incidence of complications as 7.69% than 30.77% in the control group, and the difference had statistical significance（χ2=4.457, P=0.035〈0.05）. The research group had diagnostic accuracy rate as 96.15%, while the control group had diagnostic accuracy rate as 88.46%, and the difference had no statistical significance（χ2=1.083, P=0.298〉0.05）. Conclusion CT guided percutaneous lung biopsy shows significant diagnostic value in lung space-occupying lesion, which has high diagnostic and positioning accuracy for lung space-occupying lesion, and high biopsy success rate for lesions with less complications. So it is worth clinical popularization and application.

关 键 词：CT引导下经皮肺穿刺活检术 肺部占位性病变 诊断成功率 并发症 

分 类 号：R734.2[医药卫生—肿瘤] R563[医药卫生—临床医学]