压腹带在下肺小结节穿刺活检中的应用  

Application of Abdominal Pressure Band in Puncture Biopsy of Small Nodules in the Lower Lung

作　　者：雷清华 刘琪 肖志平 Lei Qinghua;Liu Qi;Xiao Zhiping(Department of Human Anatomy,School of Medical Sciences,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;National Demonstration Center for Erperimental Basic Medical Education of Huazhong University of Science and Technology,Wuhan 430030,China;Department of Oncology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院基础医学院人体解剖学系,武汉430030 [2]华中科技大学同济医学院基础医学国家级实验教学示范中心,武汉430030 [3]华中科技大学同济医学院附属同济医院肿瘤科,武汉430030

出　　处：《华中科技大学学报（医学版）》2024年第3期375-379,共5页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：教育部产学合作协同育人项目(No.220601164153451)。

摘　　要：目的 研究压腹带在电子计算机断层扫描(computed tomography, CT)引导下进行下肺小结节穿刺活检中的临床应用价值。方法 回顾分析2022年1月至12月在华中科技大学同济医学院附属同济医院肿瘤放疗中心进行下肺小结节穿刺活检的100例患者,分为压腹带组和对照组。其中压腹带组40例,穿刺活检过程中使用压腹带;对照组60例,穿刺活检过程中未使用压腹带;比较两组穿刺活检的CT扫描次数、成功率、术中时间、并发症发生率和受到的辐射剂量。结果 压腹带组穿刺活检组的CT扫描次数中位数为5次,成功率为100%(40/40),术中时间中位数为7.9 min,并发症发生率为10%(4/40),受到的辐射剂量中位数为210.4 mGy·cm;对照组穿刺活检的CT扫描次数中位数为8次,成功率为86.7%(52/60),术中时间中位数为13 min,并发症发生率为40%(24/60),受到的辐射剂量中位数为287.7 mGy·cm。5项指标在两组间差异均有统计学意义(均P<0.05)。结论 在下肺小结节穿刺活检中使用压腹带,可明显减少CT扫描次数,缩短手术时间,降低患者受到的辐射剂量,同时具有更高的成功率和更低的并发症发生率,值得在临床应用中推广。Objective To study the clinical application value of abdominal pressure band in CT-guided puncture biopsy of lower lung nodules.Methods A retrospective analysis was conducted on 1oo patients who underwent lower lung nodule punc-ture biopsy at the Cancer and Radiotherapy Center of Tongji Hospital affiliated to Huazhong University of Science and Technol-ogy from January to December 2022.They were divided into abdominal pressure band group and control group.There were 40 patients in abdominal pressure band group,among which abdominal pressure bands were applied during the puncture process.There were 60 patients in control group who did not use abdominal pressure bands during the puncture process.The CT scan frequency,puncture depth,success rate,intraoperative time,incidence of complications,and radiation dose for puncture biopsy were compared between the two groups.Results The median value of CT scan frequency during puncture biopsy in ab-dominal pressure band group was 5 times,with a success rate of 100%(40/40).The median value of intraoperative time was 7.9 min,and the incidence of complications was 10%(4/40).The median value of radiation dose was 210.4 mGy:cm.The median value of CT scan frequency during puncture biopsy in control group was 8 times,with a success rate of 86.7%(52/60).The me-dian value of intraoperative time was 13 min,and the incidence of complications was 40%(24/60).The median value of radiation dose was 287.7 mGy·cm.Differences in five indicators were statistically significant between the two groups(all P<0.05).Conclusion Application of the abdominal pressure bands in lower lung nodule puncture biopsy can significantly reduce the number of scans,shorten surgical time,reduce the radiation dose received by patients,and have a higher success rate and lower incidence of complications.Utilization of pressure band should be promoted in clinical practice.

关 键 词：压腹带 肺小结节 电子计算机断层扫描 穿刺活检 

分 类 号：R446.8[医药卫生—诊断学]