对比分析彩色多普勒超声与CT引导经皮肺穿刺在肺周围病变诊断中的应用价值  

Comparison and analysis of CDFI and CT guided percutaneous pulmonary puncture in the diagnosis of peripheral pulmonary lesions

作　　者：丁腾云 张超学[1] 江子丰[1] 金永红[2] 朱祥胜[2] 龙成娟[2] 张林 DING Tengyun;ZHANG Chaoxue;JIANG Zifeng;JIN Yonghong;ZHU Xiang- sheng;LONG Chengjuan;ZHANG Lin(The first affiliated Hospital of Anhui Medical University, Hefei 230022, Chin)

机构地区：[1]安徽医科大学第一附属医院合肥230022 [2]安徽医科大学附属安庆医院安徽安庆246003

出　　处：《实用医学杂志》2018年第7期1191-1194,共4页The Journal of Practical Medicine

基　　金：安徽省自然科学基金项目(编号：1508085QH182)

摘　　要：目的比较分析彩色多普勒超声与CT引导肺周围病变经皮肺穿刺诊断成功率、耗时及并发症发生率、并探讨其相关影响因素。方法回顾性分析在我院住院的肺周围性病变患者152例。按其经皮穿刺活检引导方式的不同将其分为两组,比较分析两组在肺周围性病变的诊断成功率、穿刺耗时及并发症发生率等方面的差异。结果彩色多普勒超声引导组诊断成功率89.1%高于CT引导组诊断成功率87.9%,两者差异无统计学意义(P>0.05)。耗时方面彩色多普勒超声引导组平均每例耗时(13.9±6.8)min少于CT引导组平均每例耗时(32.2±11.6)min,两者差异有统计学意义(P<0.05)。并发症发生率彩色多普勒超声引导组发生率5.8%低于CT引导组发生率39.4%,两者比较有统计学意义(P<0.05)。结论彩色多普勒超声引导经皮肺穿刺诊断成功率高,且更安全、更快速,对于肺周围性病变的诊断,建议首选彩色多普勒超声引导经皮肺穿刺。Objective To compare the diagnostic success rate, puncturing time and incidence of compli- cations between CDFI and CT guided percutaneous puncture biopsy in pulmonary lesions and analyze their influenc- ing factors. Methods The retrospective analysis was conducted on 152 patients hospitalized in my Hospital. The patients were divided into two groups according to the different methods of percutaneous biopsy. Analyze the differences and reasons in diagnosis success rate, puncturing time and incidence of complications comparatively between two groups. Results The diagnostic success rate of the CDFI guided group （89.1%） was higher than that of CT guided group （87.9%）, but there was no significant difference （P 〈 0.05 ）. The puncturing time of the CDFI guided group （13.9 ± 6.8 ）minutes was less than that in the CT guided group （32.2 ±11.6）minutes. The difference between the two groups was statistically significant （P 〈 0.05）. The incidence of complications in CDFI guided group （5.8 % ） was lower than that of CT guided group （39.4 % ）, which was statistically significant （P 〈 0.05）. Conclusion CDFI guided percutaneous lung puncture has a high success rate, and is safer and faster, It is sug- gested that using CDFI guided percutaneous lung puncture for the diagnosis of lesions around the lung.

关 键 词：彩色多普勒超声 CT 肺周围型病变 经皮肺穿刺 

分 类 号：R445.1[医药卫生—影像医学与核医学] R816.41[医药卫生—诊断学]