超声与CT引导下经皮肺穿刺活检联合现场细胞学对肺外周疾病的诊断效能研究  

Exploration on the diagnostic efficiencies of ultrasound-guided and CT-guided percutaneous lung biopsy on patients with peripheral pulmonary diseases

作　　者：白子娜 刘薇[2] 唐茜 李振生[1] BAI Zi-na;LIU Wei;TANG Qian(Second Department of Pulmonary and Critical Care Medicine,Hebei Chest Hospital,Shijiazhuang 050000,China;不详)

机构地区：[1]河北省胸科医院呼吸与危重症医学二科,河北石家庄050000 [2]河北省胸科医院呼吸与危重症医学一科,河北石家庄050000

出　　处：《中国医学装备》2023年第4期56-59,共4页China Medical Equipment

基　　金：河北省医学科学研究课题计划(20210740)“彩超引导肺组织穿刺联合现场细胞学在肺外周病变的应用”。

摘　　要：目的:分析超声与CT引导下经皮肺穿刺活检联合现场细胞学对肺外周疾病的诊断效能。方法:选取医院收治的80例肺周围型病变患者,均行经皮肺穿刺活检,根据引导方式不同分为超声组和CT组,每组40例,比较两组经皮肺穿刺活检以及联合现场细胞学的检测结果、诊断成功率、穿刺时间、穿刺次数及并发症发生情况。结果:超声组穿刺次数显著低于CT组,差异有统计学意义(χ^(2)=5.471,P<0.05)。超声组穿刺时间显著少于CT组,差异有统计学意义(t=11.812,P<0.05)。超声组联合现场细胞学评价诊断成功率为90.00%,灵敏度为88.89%,特异度为92.31%。CT组联合现场细胞学评价诊断成功率为87.50%,灵敏度为90.00%,特异度为80.00%。两组成功率、灵敏度和特异度比较,差异均无统计学意义(χ^(2)=0.125,χ^(2)=0.018,χ^(2)=0.754;P>0.05)。超声组患者并发症发生率显著低于CT组,差异具有统计学意义(χ^(2)=13.077,P<0.05)。结论:超声引导下经皮肺穿刺活检联合现场细胞学对肺周疾病诊断成功率略高与CT引导,并具有穿刺时间短以及并发症发生率低的优点,可作为临床诊断肺周疾病的首选方式。Objective:To analyze the diagnostic efficiencies of ultrasound-guided and CT-guided percutaneous lung biopsy on peripheral pulmonary diseases.Methods:Eighty patients with peripheral pulmonary diseases admitted to the hospital were selected,and all of them underwent percutaneous lung biopsy for peripheral pulmonary diseases,and then.They were divided into ultrasound group(40 cases)and CT group(40 cases)according to different guidance methods.The results of percutaneous lung biopsy,diagnostic success rate,the duration of puncture,the times of puncture and complications between the two groups were compared.Results:The times of puncture of ultrasound group was significantly lower than that of CT group(χ^(2)=5.471,P<0.05).The duration of puncture of ultrasound group was significantly less than that of CT group(t=11.812,P<0.05).The diagnostic success rate,sensitivity and specificity of ultrasound group combined with fast cytological site-evaluation were 90.00%,88.89%and 92.31%,respectively.The above indicators of CT group combined with fast cytological on-site evaluation were 87.50%,90.00%and 80.00%,respectively.There were no significant differences in success rate,sensitivity and specificity between two groups(χ^(2)=0.125,χ^(2)=0.018,χ^(2)=0.754,P>0.05),respectively.The incidence rate of the complication of ultrasound group was significantly lower than that of CT group,the difference of that between them was statistically significant(χ^(2)=13.077,P<0.05).Conclusion:The diagnostic success rate of ultrasound-guided percutaneous lung biopsy combined with onsite cytology is slightly higher than that of CT-guided that for peripheral lung diseases,which has the advantages of short puncture time and low incidence of complications,so it can be used as the first choice in clinical diagnosis of peripheral lung diseases.

关 键 词：彩色多普勒超声 计算机体层扫描(CT) 肺周围型病变 经皮肺穿刺活检 现场细胞学 

分 类 号：R816.4[医药卫生—放射医学] R445.1[医药卫生—临床医学]