CT引导下分体活检针穿刺活检技术在肺内占位性病变的诊断价值及并发症分析  

Diagnostic Value of CT-guided Detachable Cutting Needle Puncture Biopsy Technique on Lung Space-occupying Lesions and Analysis of Complications

作　　者：吴文岳[1] 廖贤英[1] WU Wen-yue;LIAO Xian-ying(Department of Interventional Medicine,Cancer Hospital Affiliated to Shantou University Medical College 515041,Shantou,Guangdong Province)

机构地区：[1]汕头大学医学院附属肿瘤医院介入科,广东汕头515041

出　　处：《中国CT和MRI杂志》2022年第11期61-63,共3页Chinese Journal of CT and MRI

基　　金：广东省自然科学基金面上项目(210615176491648)。

摘　　要：目的探讨CT引导下分体活检针穿刺活检技术在肺内占位性病变的诊断价值并分析其并发症。方法回顾性分析2018年1月至2019年6月我院收治的行CT引导下分体活检针穿刺活检的590例肺内占位性病变患者术前及术后的临床资料。分析诊断结果,并观察分析术后并发症发生情况。结果590例患者均穿刺成功,行1次穿刺取出活检样本296例,行2次穿刺取出活检样本239例,行3次及以上取出活检样品55例。穿刺结果显示,明确诊断545例,诊断率为92.37%,符合率为100%,其中457例为恶性病变、88例为良性病变。共有154例患者出现术后并发症,主要为气胸与咯血,发生率分别为11.86%、11.19%;术后气胸的发生率与患者年龄、病灶直径、病灶离胸壁的距离及穿刺次数有关,术后咯血的发生率与患者病灶直径、病灶离胸壁的距离及穿刺次数有关。结论CT引导下分体活检针穿刺活检技术对肺内占位性病变患者的穿刺成功率及确诊率高,其术后并发症主要为气胸及咯血,且并发症的发生主要与病灶直径、病灶离胸壁的距离及穿刺次数有关。Objective To explore the diagnostic value of CT-guided detachable cutting needle puncture biopsy technique on lung space-occupying lesions and analyze the complications.Methods The clinical data of 590 patients with lung space-occupying lesions who underwent CT-guided detachable cutting needle puncture biopsy in our hospital from January 2018 to June 2019 were retrospectively analyzed.The diagnosis results were analyzed,and the occurrence of postoperative complications were observed and analyzed.Results All 590 patients were successfully punctured,including 555 biopsy samples(94.07%)with one puncture and 35 biopsy samples(5.93%)with two punctures.Puncture results showed 545cases of confirmed diagnosis with a diagnosis rate of 92.37%and a coincidence rate of 100%.Among them,there were 457 malignant cases and 88 benign cases.A total of 154 patients had postoperative complications,mainly pneumothorax and hemoptysis,with incidence rates of 11.86%and 11.19%respectively.The incidence rate of postoperative pneumothorax was related to the age,lesion diameter,distance from lesion to chest wall and puncture frequency.The incidence rate of postoperative hemoptysis was related to lesion diameter,distance from lesion to chest wall and puncture frequency.Conclusion CT-guided detachable cutting needle puncture biopsy technique has a high puncture success rate and a high diagnosis rate for lung space-occupying lesions.The postoperative complications are mainly pneumothorax and hemoptysis,and the occurrence of complications are mainly related to the lesion diameter,the distance from lesion to chest wall and puncture frequency.

关 键 词：肺内占位性病变 CT引导 分体活检针穿刺 活检技术 诊断价值 并发症 

分 类 号：R445.3[医药卫生—影像医学与核医学] R322.35[医药卫生—诊断学]