空腔脏器对CT引导下胰腺穿刺活检的影响分析  

The influence of hollow organs on CT-guided percutaneous puncture biopsy of pancreas: a clinical analysis

作　　者：刘成㭎 周志刚[1] 王猛[1] LIU Chenggang;ZHOU Zhigang;WANG Meng(Imaging and Nuclear Medicine Ward,First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan Province 450052,China)

机构地区：[1]郑州大学第一附属医院影像与核医学病区,450052

出　　处：《介入放射学杂志》2022年第8期783-786,共4页Journal of Interventional Radiology

摘　　要：目的 探讨空腔脏器对CT引导下胰腺穿刺活检的影响。方法 选择郑州大学第一附属医院2016年1月至2020年1月接受CT引导下胰腺穿刺活检术275例。对针道经过空腔脏器组和不经过任何脏器组患者的基本信息进行倾向得分匹配,比较两组针道的准确率。结果 275例患者的年龄为(61.1±11.3)岁,男性161例,女性114例。针道未经过腹腔脏器者176例,经过空腔器官者68例,经过实质脏器者31例。病灶位于胰头173例,胰颈7例,胰体57例,胰尾38例,大小(46.1±14.0) mm,针道长度(71.0±21.7) mm,胰腺穿刺活检整体准确率为85.8%(236/275)。7例出现少量局部出血,1例出现轻微胰腺炎表现。以是否经过空腔脏器为分组条件进行倾向得分匹配,匹配后,针道未经过任何腹腔脏器组与经过空腔脏器组各57例,基本条件(年龄,性别,部位,大小,针道长度)之间差异无统计学意义(均P>0.05);针道未经过腹腔脏器的准确率为89%,针道经过空腔脏器的准确率为77%,差异无统计学意义(P=0.07)。结论 CT引导下胰腺穿刺活检术准确率及安全性较高,是否经过空腔脏器对胰腺穿刺的准确性没有明显影响。高度考虑为恶性的胰腺占位患者,胰腺占位联合疑似转移灶穿刺活检或可提高阳性率。Objective To investigate the influence of hollow organs on CT-guided percutaneous puncture biopsy of pancreas. Methods A total of 275 patients, who received CT-guided percutaneous puncture biopsy of pancreas at the First Affiliated Hospital of Zhengzhou University of China between January 2016 and January 2020, were collected. According to the basic information, the propensity score matching was conducted between the patients with the puncture needle-path passing through the hollow organs(passing group) and the patients with the puncture needle-path not passing through any organs(not-passing group), and the accuracy rate of needle-path was compared between the two groups. Results Of the 275 patients, 161 were males and 114 were females, with a mean age of(61.1±11.3) years. The puncture needle-path not passing through any organs was seen in 176 patients, passing through the hollow organs in 68 patients, and passing through the parenchymal organs in 31 patients. The pancreatic lesions were located at pancreatic head(n=173),pancreatic neck(n=7), pancreatic body(n=57), and pancreatic tail(n=38). The mean size of lesion was(46.1±14.0) mm and the mean length of needle-path was(71.0±21.7) mm. The overall accuracy of puncture biopsy of pancreas was 85.8%(236/275). Seven patients developed small amount of local bleeding and one patient developed symptoms of mild pancreatitis. After 1:1 propensity score matching, there were 57 patients each in not-passing group and passing group. There were no statistically significant differences in the basic data,including age, sex, lesion site, lesion size, and the length of needle-path between the two groups(P>0.05 in all).The accuracy rates of needle-path in not-passing group and passing group were 89% and 77% respectively,the difference between the two groups was not statistically significant(P=0.07). Conclusion CT-guided percutaneous puncture biopsy of pancreas carries higher accuracy rate and safety. The needle-path, regardless of its passing through the hollow organs or not, ha

关 键 词：胰腺穿刺 活检 空腔脏器 准确率 影响分析 计算机断层显像 

分 类 号：R735.9[医药卫生—肿瘤]