超声引导与CT引导穿刺活组织检查对周围型肺结节的诊断效果评价  

Evaluation on the diagnostic effect of ultrasound-guided and CT-guided needle biopsy on peripheral pulmonary nodules

作　　者：周利芬 陈方红 王海林 ZHOU Lifen;CHEN Fanghong;WANG Hailin(Department of Ultrasonography,Lishui Central Hospital in Zhejiang Province,Lishui 323000,China)

机构地区：[1]浙江省丽水市中心医院超声科,浙江丽水323000

出　　处：《中国现代医生》2019年第8期118-121,F0003,共5页China Modern Doctor

基　　金：浙江省基础公益性应用技术研究项目(LGF18H160035)

摘　　要：目的探究超声引导与CT引导穿刺活组织检查对周围型肺结节的诊断效果。方法选择2016年1月～2017年5月周围型肺结节患者100例为研究对象,其均接受穿刺活组织检查,以区组随机化法分组,其中实验组实施超声引导下穿刺活组织检查,对照组则实施CT引导下穿刺活组织检查,分析两组周围型肺结节患者穿刺活组织检查的结果。结果实验组穿刺成功率为94.00%(47/50),对照组穿刺成功率为96.00%(48/50)。两组周围型肺结节患者患者穿刺成功率相比,差异无统计学意义(P>0.05);实验组中,1例患者出现胸痛,3例出现少量咯血,1例出现气胸,其并发症发生率为10.00%;对照组中,2例出现轻度咳嗽,1例穿刺口疼痛,2例出现胸痛,1例出现肿瘤出血,2例出现少量咯血,7例出现气胸,其并发症发生率为30.00%。实验组并发症发生率较对照组低(P<0.05)。结论周围型肺结节患者接受超声与CT引导下穿刺活组织检查,均可取得较好的诊断效果,其中超声的应用,更加简单、方便、安全,可作为患者疾病检查的首选方法。Objective To investigate the diagnostic effect of ultrasound-guided and CT-guided needle biopsy on peripheral pulmonary nodules. Methods 100 patients with peripheral pulmonary nodules were selected from January 2016 to May 2017 as study subjects. They were all given needle biopsy, and they were assigned to groups by block randomization. Among them, the experimental group was given ultrasound-guided needle biopsy, and the control group was given CT-guided needle biopsy. The results of needle biopsy of patients with peripheral pulmonary nodules were analyzed in both groups. Results In the experimental group, the success rate of puncture was 94.00%(47/50). In the control group, the success rate of puncture was 96.00%(48/50). There was no statistically significant difference in the success rate of puncture between the two groups of patients with peripheral pulmonary nodules(P>0.05);in the experimental group, 1 patient developed chest pain, 3 patients had a small amount of hemoptysis, and 1 patient had pneumothorax. The probability of complications was 10.00%;in the control group, 2 cases had mild cough, 1 case had pain at the puncture site, 2 cases had chest pain, 1 case had tumor hemorrhage, 2 cases had a small amount of hemoptysis, and 7 cases had pneumothorax. The probability of complications was 30.00%. The incidence rate of complications in the experimental group was lower than that in the control group(P<0.05). Conclusion Patients with peripheral pulmonary nodules can achieve better diagnostic results by ultrasound and CT-guided needle biopsy. Among them, the application of ultrasound is simpler, more convenient and safer, and can be used as the preferred method for disease examination.

关 键 词：超声 CT 穿刺活组织检查 周围型肺结节 

分 类 号：R521[医药卫生—内科学]