MPR重建CT引导下经皮腹膜后肿物穿刺活检术应用价值  

Application value of MPR reconstruction and CT-guided percutaneous puncturebiopsy of retroperitoneal masses

作　　者：王玉华 余锋[1] 方科 WANG Yuhua;YU Feng;FANG Ke(Department of Oncology,Gaoxin Hospital,the First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330096,China)

机构地区：[1]南昌大学第一附属医院高新医院肿瘤科,江西南昌330096

出　　处：《现代医药卫生》2023年第22期3813-3816,共4页Journal of Modern Medicine & Health

基　　金：江西省卫生健康委员会科技计划项目(2022A019)。

摘　　要：目的探讨MPR重建CT引导下经皮腹膜后肿物穿刺活检术的临床应用价值和安全性。方法回顾性分析2019年8月至2022年8月在该院行经皮腹膜后肿物穿刺活检患者79例,其中MPR重建CT引导44例(MPR组),普通轴位CT引导35例(普通组)。比较2组患者穿刺成功率和并发症发生情况。结果MPR组患者穿刺成功率为97.7%,普通组为85.7%,2组比较差异有统计学意义(P=0.045)。73例穿刺成功患者腹膜后肿物为恶性淋巴瘤(39.7%)、转移瘤(43.8%)、神经鞘瘤(5.5%)及淋巴结结核(11.0%)。MPR组患者并发症发生率为20.5%,普通组为45.7%,2组比较差异有统计学意义(P=0.016)。结论MPR重建CT引导下经皮腹膜后肿物穿刺活检术是安全可靠的,较普通CT引导穿刺成功率提高,且可降低并发症发生率,值得临床推广。Objective To investigate the clinical value and safety of Multi-planner reformation(MPR)reconstruction and CT-guided percutaneous puncture biopsy of retroperitoneal masses.Methods A total of 79 patients who underwent percutaneous retroperitoneal of retroperitoneal masses from August 2019 to August 2022 in this hospital were retrospectively analyzed,including MPR reconstruction CT 44 cases(the MPR group)and 35 cases(the general group)guided by conventional axial CT.The success rates and complicationsof the two groups were compared.Results The success rate of puncture was 97.7%in the MPR group and 85.7%in the general group,and the difference between the two groups was statistically significant(P=0.045).Among the 73 patients with successful puncture,retroperitoneal masses were malignant lymphoma(39.7%),metastatic tumor(43.8%),schlemma(5.5%)and lymph node tuberculosis(11.0%).The incidence of complications was 20.5%in the MPR group and 45.7%in the general group,and the difference between the two groups was statistically significant(P=0.016).Conclusion MPR reconstruction and CT-guided percutaneous puncture biopsy of retroperitoneal masses is safe and reliable,which can improve the success rate and reduce the incidence of complications compared with general CT-guided puncture,and is worthy of clinical promotion.

关 键 词：腹膜后肿物 穿刺 CT引导 活检术 MPR 多平面重建 

分 类 号：R730.44[医药卫生—肿瘤]