CT引导下经皮肺穿刺针吸术在肺癌诊断中的应用价值分析  

Value of percutaneous pulmonary puncture needle aspiration guided by CT in the diagnosis of lung cancer

作　　者：刘丽娟 张齐武[1] 刘中洋 高俊峰 徐峰 Liu Lijuan;Zhang Qiwu;Liu Zhongyang;Gao Junfeng;Xu Feng(Respiratory medicine of the 210th Hospital of Chinese people＇s Liberation Army,Dalian,Liaoning,116000,China)

机构地区：[1]中国人民解放军第210医院呼吸内科,辽宁大连116000

出　　处：《当代医学》2018年第16期27-29,共3页Contemporary Medicine

摘　　要：目的探讨CT引导下经皮肺穿刺针吸术在肺癌中诊断价值。方法选取2011年8月~2017年10月本院疑诊肺癌患者58例作为研究对象,患者均在CT引导下行经皮肺穿刺针吸术,以患者术后病理诊断结果为"金标准",判定CT引导下经皮肺穿刺针吸术在肺癌中诊断灵敏度、特异性、阳性符合率及安全性,并判定病灶直径和病灶深度对穿刺结果影响。结果 58例患者经术后病理明确诊断为肺癌41例(70.69%)。58例患者CT引导下经皮肺穿刺一次性成功55例(94.83%),诊断灵敏度为78.05%、特异性为100.00%、阳性符合率为84.48%。58例患者穿刺后,出现1例气胸(1.72%),出血1例(1.72%)。一次性穿刺成功、穿刺诊断符合患者病灶直径大于二次穿刺成功、穿刺诊断不符合患者,一次性穿刺成功、穿刺诊断符合患者病灶距胸壁距离小于二次穿刺成功、穿刺诊断不符合患者(P<0.05)。结论 CT引导下经皮肺穿刺针吸术在肺癌中诊断具有较高临床价值和诊断安全性,穿刺成功和穿刺诊断符合率受到病灶直径和病灶距胸壁距离影响。Objective To investigate the diagnostic value of CT guided percutaneous needle aspiration in lung cancer. Methods Select 58 case of suspected lung cancer patients in our hospital during August 2011-October 2017 as studying object, patients underwent percutaneous percutaneous aspiration guided by CT, and the postoperative pathological diagnosis was ＂gold standard＂. The diagnostic sensitivity, specificity and positive coincidence rate of percutaneous pulmonary puncture needle aspiration guided by CT were determined and safety, and determine the lesion diameter and lesion depth on the puncture results. Results Successful puncture in 58 patients with pathologically confirmed lung cancer in 41 cases（70.69%）. 55 patients（94.83%） were successfully treated with CT guided percutaneous pulmonary puncture, the diagnostic sensitivity was 78.05%, the specificity was 100.00%, and the positive coincidence rate was 84.48%. After puncture of 58 patients, there were 1 cases of pneumothorax（1.72%） and 51 cases of bleeding（1.72%）. One-time puncture success, puncture diagnosis in line with the patient＇s lesion diameter greater than the success of the second puncture, puncture diagnosis does not meet the patients, lesion distance from the chest wall less than the second puncture success, puncture diagnosis does not meet the patients（P〈0.05）. Conclusion CT-guided percutaneous needle aspiration in lung cancer diagnosis has a high clinical value and diagnostic safety, puncture success and puncture diagnosis coincidence rate by the lesion diameter and lesion distance from the chest wall.

关 键 词：CT 经皮肺穿刺 肺癌 诊断 

分 类 号：R734.2[医药卫生—肿瘤]