超声与CT经皮穿刺在超声可视性胸部病变定性诊断中的对比研究  

Ultrasound-guided versus CT-guided percutaneous biopsy for the qualitative diagnosis of ultrasonic-visual chest lesions: a comparison study

作　　者：董亮[1] 周青[2] 纪永利[1] 庞闽厦[1] 

机构地区：[1]胜利油田中心医院医学影像科,山东东营257034 [2]胜利油田中心医院妇产科,山东东营257034

出　　处：《介入放射学杂志》2017年第8期718-721,共4页Journal of Interventional Radiology

摘　　要：目的比较彩色超声(彩超)与CT经皮穿刺在超声可视性胸部病变定性诊断中的病灶刺中率、病理诊断阳性率以及并发症发生率。方法回顾2015年1月至2016年6月影像学资料提示超声可视性胸部病变患者112例,病变与皮肤之间无骨骼及肺气遮挡,其中经超声引导下穿刺52例(超声组),经CT引导下穿刺60例(CT组),比较两组的病灶刺中率、病理诊断阳性率及并发症发生率。结果超声组刺中率100%(52/52),高于CT组91.7%(55/60),超声组病理诊断阳性率为96.2%(50/52),高于CT组80.0%(48/60),超声组并发症发生率3.8%(2/52),低于CT组18.3%(11/60)。结论对于超声可视性胸部病变,超声引导下的穿刺活检较CT更加可靠。Objective To compare the puncturing hit rate, positive rate of pathological diagnosis and the incidence of complications between color Doppler ultrasound-guided and CT-guided percutaneous biopsy for the qualitative diagnosis of ultrasonic-visual chest lesions. Methods A total of 112 patients, who were encountered from January 2015 to June 2016 in authors＇ hospital and whose imaging materials suggested the presence of ultrasonic-visual chest lesions, were enrolled in this study. There were no bones or lung air between the thoracic skin and chest lesion to hinder imaging observation. Ultrasound-guided puncturing was employed in 52 patients （ultrasound-guided group） and CT-guided puncturing was adopted in 60 patients （CT-guided group）. The puncturing hit rate, positive rate of pathological diagnosis and the incidence of complications were compared between the two groups. Results The puncturing hit rate in ultrasound-guided group was 100% （52/52）, which was higher than 91.7% （55/60） in CT-guided group. The positive rate of pathological diagnosis in ultrasound-guided group was 96.2% （50/52）, which was higher than 80.0% （48/60） in CT-guided group. The incidence of complications in ultrasound-guided group was 3.8% （2/52）, which was lower than 18.3%（11/60） in CT-guided group. Conclusion For the qualitative diagnosis of ultrasonic-visual chest lesions, ultrasound-guided percutaneous biopsy is more reliable than CT-guided percutaneous biopsy. （J Intervent Radiol, 2017, 26： 718-721）

关 键 词：超声引导 CT引导 胸部病变 超声可视性 经皮穿刺活检术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R56[医药卫生—诊断学] R816.4[医药卫生—临床医学]