CT与二维超声引导下经皮细针穿刺肺活检术对肺部周围性病变患者的诊断价值比较  

Comparison of CT and the Two-Dimensional Ultrasound-Guided Percutaneous Fine Needle Aspiration Lung Biopsy in the Diagnosis of Patients with Pulmonary Diseases

作　　者：田红伟 赵云[1] TIAN Hongwei;ZHAO Yun(Department of Respiratory Medicine,Puyang Oilfield General Hospital,Puyang 457001,China)

机构地区：[1]濮阳市油田总医院呼吸内科,河南濮阳457001

出　　处：《河南医学研究》2021年第24期4546-4549,共4页Henan Medical Research

摘　　要：目的探讨CT与二维超声(B超)引导下经皮细针穿刺肺活检术对肺部周围性病变患者活检结果、诊断效能的影响。方法选取2018年11月至2020年11月濮阳市油田总医院收治的疑似肺部周围性病变患者122例,依照不同检测方法分为B超组与CT组,各61例。CT组使用CT引导下经皮细针穿刺肺活检,B超组使用B超引导下经皮细针穿刺肺活检术。对比两组活检结果,以手术结果为“金标准”,统计两组活检结果、诊断效能、并发症。结果CT组组织长度、扫描时间、操作时间与B超组比较,差异无统计学意义(P>0.05);CT组穿刺次数较B超组少(P<0.05);CT组61例疑似肺部周围性病变患者经手术结果证实阳性49例,阴性12例;经CT引导下经皮细针穿刺肺活检术检出阳性45例,阴性16例。B超组61例疑似肺部周围性病变患者经手术结果证实阳性38例,阴性23例;经B超引导下经皮细针穿刺肺活检术检出阳性35例,阴性26例;CT组诊断肺部周围性病变准确率(90.16%)、敏感性(89.80%)较B超组(72.13%、73.68%)高,漏诊率(10.20%)较B超组(26.32%)低(P<0.05),CT组诊断肺部周围性病变特异度(91.67%)、误诊率(8.33%)与B超组(69.57%、30.43%)比较,差异无统计学意义(P>0.05);CT组并发症发生率为4.92%(3/61),B超组为8.20%(5/61),两组比较,差异无统计学意义(P>0.05)。结论相较于B超,CT引导下经皮细针穿刺肺活检诊断肺部周围性病变效果更佳,且CT穿刺次数较B超少,值得临床应用推广。Objective To investigate the effects of CT and two-dimensional ultrasound(B ultrasound)-guided percutaneous fine needle aspiration lung biopsy on biopsy results and diagnostic efficacy of patients with pulmonary peripheral diseases.Methods A total of 122 patients with suspected peripheral pulmonary diseases admitted to Puyang Oilfield General Hospital from November 2018 to November 2020 were selected.According to different detection methods,they were divided into B ultrasound group and CT group,with 61 cases in each group.The CT group was treated with CT-guided percutaneous fine needle aspiration lung biopsy,while the B ultrasound group was treated with B-ultrasound-guided percutaneous fine needle aspiration lung biopsy.The biopsy results of the two groups were compared,and the surgical results were taken as the“gold standard”.The biopsy results,diagnostic efficiency and complications of the two groups were counted.Results There were no significant differences in tissue length,scanning time and operation time between CT group and B ultrasound group(P>0.05).The number of puncture in CT group was less than that in B ultrasound group(P<0.05).In the CT group,49 of the 61 patients with suspected peri-pulmonary lesions were confirmed positive and 12 were negative.CT-guided percutaneous fine needle aspiration lung biopsy was positive in 45 cases and negative in 16 cases.In the B ultrasound group,38 cases were positive and 23 cases were negative in the 61 patients with suspected peripheral pulmonary lesions.Thirty-five cases were positive and 26 cases were negative in percutaneous fine needle aspiration lung biopsy under B ultrasound-guided.The accuracy of detecting peripheral lung lesions(90.16%)and sensitivity(89.80%)were higher compared with those in the B ultrasound group(72.13%,73.68%),and the rate of missed(10.20%)was lower than the B group(26.32%)(P<0.05).The CT diagnosis of peripheral lung lesions(91.67%)and misdiagnosis(8.33%)were compared with B ultrasound(69.57%,30.43%),the differences were not statistical

关 键 词：经皮细针穿刺肺活检 肺部周围性病变 二维超声 

分 类 号：R445[医药卫生—影像医学与核医学]