iGuid导航辅助CBCT在肺穿刺活检定位中的应用  

The application of iGuid navigation-assisted cone beam CT in the localization of lung puncture biopsy

作　　者：黄志荣[1] 金鑫[1] 朱宇峰[1] HUANG Zhirong;JIN Xin;ZHU Yufeng(Interventional Department,Changzhou Municipal Fourth People’s Hospital,Changzhou,Jiangsu Province 213000,China)

机构地区：[1]常州市第四人民医院介入科,江苏常州213000

出　　处：《介入放射学杂志》2023年第10期985-988,共4页Journal of Interventional Radiology

摘　　要：目的探讨iGuid导航辅助CBCT(cone beam CT)引导肺穿刺活检定位中的应用。方法选择2018年6月至2022年7月常州市第四人民医院行iGuid导航辅助CBCT引导下的肺穿刺活检患者41例(研究组),行普通CT引导下肺穿刺活检患者69例(对照组)。比较两组肺穿刺手术时间、一次穿刺成功率及并发症发生率。结果研究组肺穿刺手术时间为(20.56±2.56)min,低于对照组的(23.28±5.57)min,差异有统计学意义(t=3.364,P=0.001);研究组一次穿刺成功率为92.68%(38/41),高于对照组的78.26%(54/69),差异有统计学意义(χ^(2)=4.190,P=0.041);两组总并发症发生率分别为46.37%(32例)、34.15%(14例),差异无统计学意义(χ^(2)=1.685,P=0.640)。结论i Guid导航辅助CBCT引导肺穿刺活检定位准确、高效,成功率及安全性较高,值得在临床推广。Objective To discuss the application of iGuid navigation-assisted cone beam CT(CBCT)in the localization of lung biopsy.Methods The patients,who received lung puncture biopsy at the Changzhou Municipal Fourth People's Hospital of China between June 2018 and July 2022,were collected.The patients were divided into the study group(n=41,receiving iGuid navigation-assisted CBCT lung biopsy)and the control group(n=69,receiving conventional CT-guided lung biopsy).The time spent for lung puncture,the single puncture success rate,and the incidence of complications were compared between the two groups.Results The time spent for lung puncture in the study group was(20.56±2.56)min,which was shorter than(23.28±5.57)min in the control group,the difference between the two groups was statistically significant(t=3.364,P=0.001).The single puncture success rate in the study group was 92.68%(38/41),which was higher than 78.26%(54/69)in the control group,the difference between the two groups was statistically significant(χ^(2)=4.190,P=0.041).The total incidences of complications in the study group and the control group were 46.37%(n=32)and 34.15%(n=14)respectively,the difference between the two groups was not statistically significant(χ^(2)=1.685,P=0.640).Conclusion For the localization of lung puncture biopsy,iGuid navigation-assisted CBCT is accurate,effective and safe with high success rate.Therefore,this technique is worth promoting in clinical practice.

关 键 词：肺穿刺 活检 iGuid导航辅助CBCT 介入放射学 

分 类 号：R563[医药卫生—呼吸系统]