X线透视引导下经皮肺细针穿刺活检诊断周围型肺部肿块89例  

Diagnosis of Peripheral Pulmonary Masses by Percutaneous Fine Needle Biopsy Guided by X-ray Fluoroscopy in 89 Cases

作　　者：段莉娜 杜飞 罗颖 DUAN Li-na;DU Fei;LUO Ying(Department of Radiology,the People's Hospital of Hebi,Hebi 458030,Henan Province,China)

机构地区：[1]鹤壁市人民医院放射科,河南鹤壁458030

出　　处：《罕少疾病杂志》2022年第11期32-33,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的分析周围型肺部肿块诊断中采用X线透视引导下经皮肺细针穿刺活检的价值。方法筛选周围型肺部肿块患者89例作为研究对象,89例患者均选自2019年8月至2021年5月区间,均实施常规盲视下穿刺(对照组)、X线透视引导下经皮肺细针穿刺活检(观察组),分析一次性定位成功率、一次性活检成功率、诊断准确率、并发症率。结果观察组一次性定位成功率(91.01%)、一次性活检成功率(95.51%)高于对照组,并发症率为8.99%低于对照组,组间对比P<0.05;以观察组检出4(4.49%)例真菌性肉芽肿、4(4.49%)例非特异性炎症、3(3.37%)例尘肺、5(5.62%)例非原发淋巴瘤、4(4.49%)例肺结核、26(29.21%)例肺腺癌、31(34.83%)例肺鳞癌、5(5.62%)例肺未分化癌,准确率为92.13%(82/89)高于对照组,组间对比P<0.05。结论选择X线透视引导下经皮肺细针穿刺活检对周围型肺部肿块进行诊断可提高诊断准确率,亦可确保一次性定位、活检成功率,避免出现并发症影响其预后效果,值得参考。Objective To analyze the value of percutaneous fine needle aspiration biopsy guided by X-ray fluoroscopy in the diagnosis of peripheral pulmonary masses.Methods 89 patients with peripheral pulmonary masses were selected as the subjects,89 patients were selected from August 2019 to may 2021,Routine blind puncture(control group)and percutaneous fine needle lung biopsy guided by X-ray fluoroscopy(observation group)were performed,The success rate of one-time localization,one-time biopsy,diagnostic accuracy and complication rate were analyzed.Results The success rate of one-time localization(91.01%)and one-time biopsy(95.51%)in the observation group were higher than those in the control group,the complication rate was 8.99%,which was lower than that in the control group,Comparison between groups(P<0.05);In the observation group,4(4.49%)cases of fungal granuloma were detected.There were 4(4.49%)cases of nonspecific inflammation and 3(3.37%)cases of pneumoconiosis.5(5.62%)cases of non primary lymphoma.4(4.49%)cases of pulmonary tuberculosis.26(29.21%)cases of lung adenocarcinoma.31(34.83%)cases of lung squamous cell carcinoma.5(5.62%)cases of undifferentiated lung cancer,The accuracy rate was 92.13%(82/89),which was higher than that in the control group,Comparison between groups(P<0.05).Conclusion Selecting percutaneous fine needle lung biopsy guided by X-ray fluoroscopy to diagnose peripheral pulmonary masses can improve the diagnostic accuracy,It can also ensure the success rate of one-time localization and biopsy,It is worthy of reference to avoid complications affecting the prognosis.

关 键 词：X线透视 经皮肺细针穿刺活检 诊断 周围型肺部肿块 肺腺癌 尘肺 

分 类 号：R814[医药卫生—影像医学与核医学]