CT引导经皮肺穿刺活检术在肺部占位性病变诊断中的应用  

Application of CT-guided percutaneous lung puncture biopsy in the diagnosis of lung occupying lesions

作　　者：龙成娟 史恒峰[1] 丁国正[2] 丁腾云[3] 李长东 王玮 胡汉金[1] LONG Chengjuan;SHI Hengfeng;DING Guozheng;DING Tengyun;LI Changdong;WANG Wei;HU Hanjin(Department of Medical Imaging,Anqing Hospital Affiliated to Anhui Medical University,Anqing,Anhui,246003;Department of Respiratory,Anqing Hospital Affiliated to Anhui Medical University,Anqing,Anhui,246003;Department of Ultrasound,Anqing Hospital Affiliated to Anhui Medical University,Anqing,Anhui,246003;The Outpatient Department,Anqing Hospital Affiliated to Anhui Medical University,Anqing,Anhui,246003)

机构地区：[1]安徽医科大学附属安庆医院医学影像科,安徽安庆246003 [2]安徽医科大学附属安庆医院呼吸科,安徽安庆246003 [3]安徽医科大学附属安庆医院超声科,安徽安庆246003 [4]安徽医科大学附属安庆医院门诊部,安徽安庆246003

出　　处：《实用临床医药杂志》2020年第5期28-31,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨CT引导经皮肺穿刺活检术在肺部疾病诊断中的价值。方法回顾分析66例肺占位性病变患者的资料,患者均经CT引导经皮肺穿刺活检术,按结节在肺内位置分为肺周围型病变组(52例)和肺中央型病变组(14例),再按结节最大径分为≥5 cm组(28例)和<5 cm组(38例),分别统计诊断成功率、并发症发生率,并分析其相关影响因素。结果66例患者诊断成功58例,诊断成功率87.9%;肺周围型病变组中46例诊断成功,诊断成功率88.5%,并发症发生率48.1%,肺中央型病变组中12例诊断成功,诊断成功率85.7%,并发症发生率28.6%,2组的诊断成功率和并发症发生率比较,差异无统计学意义(P>0.05);结节最大径≥5 cm组中诊断成功率85.7%,并发症发生率28.6%,<5 cm组中诊断成功率89.5%,并发症发生率55.3%,2组诊断成功率比较,差异无统计学意义(P>0.05),2组并发症发生率比较,差异有统计学意义(P<0.05)。结论CT引导经皮肺穿刺活检术具有诊断成功率高、安全、并发症少及创伤小等优点,在肺部占位性病变诊断中具有重要的临床应用价值。ABSTRCAT:Objective To investigate the value of CT-guided percutaneous lung puncture biopsy in the diagnosis of lung occupying lesions.Methods Clinical materials of 66 patients with lung occupying lesions were analyzed retrospectively.All the patients were conducted with CT-guided percutaneous lung puncture biopsy,and they were divided into lung peripheral lesions group(n=52)and central type lesion group(n=14)according to the position of nodule in lung.They were also divided into≥5 cm group(n=28)and<5 cm group(n=38)according to largest diameter of nodule in lung.The success rate of diagnosis and the incidence of complications were analyzed,and the relevant influencing factors were analyzed.Results Among 66 patients,there were 58 cases with successful diagnosis,and the success rate was 87.9%.Totally 46 patients in lung peripheral lesions group were diagnosed successfully,with a success rate of 88.5%and a complication rate of 48.1%.Totally 12 patients in central type lesion group were diagnosed successfully,with a success rate of85.7%and a complication rate of 28.6%.There were no significant differences in success rate of diagnosis and incidence of complications between the two groups(P>0.05).The success rate of diagnosis was 85.7%in the≥5 cm group,and the complication rate was 28.6%.The success rate of diagnosis was 89.5%in the<5 cm group,and the complication rate was 55.3%.There was no significantdifference in success rate of diagnosis between the two groups(P>0.05),but there was significant difference incomplication rate between two groups(P<0.05).Conclusion CT-guided percutaneous lung puncture biopsy has the advantages of high success rate,high safety,less complications and less trauma,which has important clinical application value in the diagnosis of lung occupying lesions.

关 键 词：CT 经皮肺穿刺活检术 肺占位性病变 

分 类 号：R816.41[医药卫生—放射医学]