肺结节同期活检联合微波消融策略的实施  

Microwave ablation synchronously with biopsy strategy for pulmonary nodules

作　　者：张程智 孙占国 方毅[1] 宋梦瑶 韩新巍[1] 焦德超[1] ZHANG Chengzhi;SUN Zhanguo;FANG Yi;SONG Mengyao;HAN Xinwei;JIAO Dechao(Department of Intervention,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院介入科,河南郑州450052

出　　处：《实用放射学杂志》2024年第4期637-640,共4页Journal of Practical Radiology

摘　　要：目的评价肺结节同期活检联合微波消融(MWA)的疗效。方法回顾性分析64例MWA联合肺活检患者资料,31例患者(非同步组)先活检明确恶性肿瘤后择期消融,33例患者(同步组)采用活检联合消融同期完成。比较2组技术成功率、操作时间、并发症、住院时间和费用。结果2组技术成功率、气胸、胸腔积液发生率无统计学差异(P>0.05)。同步组和非同步组的操作时间(42.00 min vs 54.26 min)、住院时间(5.09 d vs 9.26 d)、住院费用(26840.61元vs 32527.26元)、肺内出血(27.27%vs 87.10%)、咯血(3.03%vs 19.35%)比较,均有统计学差异(P<0.05)。结论肺结节同期活检联合MWA安全可行,可降低术中出血,缩短治疗周期和降低住院费用。Objective To evaluate the efficacy of microwave ablation(MWA)synchronously with biopsy for pulmonary nodules.Methods The data of 64 patients with MWA combined with biopsy were analyzed retrospectively.Thirty-one patients(non-synchronous group)were treated with ablation following biopsy in turn to identify malignant tumors,and 33 patients(synchronous group)were treated by ablation and biopsy synchronously.The technical success rate,operation time,complications,hospitalization time and expenses were compared between non-synchronous group and synchronous group.Results The technical success rate,pneumothorax,and pleural effusion rate showed no significance between the two groups(P>0.05).There were all significant differences in operation time(42.00 min vs 54.26 min),hospitalization time(5.09 days vs 9.26 days),hospitalization expenses(26840.61 yuan vs 32527.26 yuan),lung hemorrhage(27.27%vs 87.10%)and hemoptysis(3.03%vs 19.35%)between synchronous group and non-synchronous group,respectively(P<0.05).Conclusion MWA synchronously with biopsy for pulmonary nodules is safe and feasible,which can reduce intraoperative bleeding,shorten treatment period and reduce hospitalization expenses.

关 键 词：肺结节 活检 微波消融 

分 类 号：R563[医药卫生—呼吸系统] R446.8[医药卫生—内科学] R815[医药卫生—临床医学]