CT引导下经皮肺穿刺活检对肺癌的诊断价值  

The Diagnostic Value of CT-Guided Percutaneous Lung Biopsy for Lung Cancer

作　　者：王海洋 乔红[1] Wang Haiyang;Qiao Hong(Oncology Department of Baoying County Hospital of Traditional Chinese Medicine,Baoying Jiangsu 225800,China)

机构地区：[1]宝应县中医医院肿瘤科,江苏宝应225800

出　　处：《生命科学仪器》2024年第5期27-29,共3页Life Science Instruments

摘　　要：目的 探讨CT引导下经皮穿刺活检对肺癌的诊断价值。方法 选择2019年7月至2024年4月期间宝应县中医医院收治的疑似肺癌患者66例,均予CT引导下经皮肺穿刺活检,以术后病理诊断结果为金标准,分析穿刺成功情况,评估该方案对肺癌的诊断效能,比较不同特征患者诊断准确率的差异,并统计并发症发生率。结果 66例患者一次穿刺成功与总穿刺成功率分别为95.45%、100.00%。CT引导下经皮肺穿刺活检对肺癌诊断准确度为95.45%、灵敏度为94.64%、特异度为100.00%、阳性预测值为100.00%、阴性预测值为76.92%,与金标准一致性较好(Kappa=0.84)。病灶直径>2 cm者诊断准确率为100.00%,高于直径≤2 cm者(82.35%),P<0.05。66例患者并发症情况包括气胸2例、出血1例、咳血1例,总发生率6.06%。结论 CT引导下经皮肺穿刺活检穿刺成功率高,对肺癌尤其是直径>2c m肺癌的诊断效能高,且并发症风险低。Objective:To explore the diagnostic value of CT-guided percutaneous biopsy in lung cancer.Methods:From July 2019 to April 2024,66 patients with suspected lung cancer admitted to Baoying County Hospital of Traditional Chinese Medicine were selected,all of whom underwent CT-guided percutaneous lung biopsy.Taking postoperative pathological diagnosis as the gold standard,the success of puncture was analyzed,the diagnostic efficacy of the scheme for lung cancer was evaluated,the differences of diagnostic accuracy of patients with different characteristics were compared,and the incidence of complications was counted.Results:The success rate of one puncture and total puncture in 66 patients were 95.45%and 100.00%respectively.The diagnostic accuracy、sensitivity、specificity、positive predictive value and negative predictive value of CT-guided percutaneous lung biopsy for lung cancer are 95.45%、94.64%、100.00%、100.00%and 76.92%,which are in good agreement with the gold standard(Kappa=0.84).The diagnostic accuracy of lesions with a diameter greater than 2 cm was 100.00%,which was higher than that with a diameter less than 2 cm(82.35%),P<0.05.Complications of 66 patients included pneumothorax in 2 cases,hemorrhage in 1 case and hemoptysis in 1 case,with a total incidence of 6.06%.Conclusion:CTguided percutaneous lung biopsy has high success rate,high diagnostic efficiency for lung cancer,especially lung cancer with a diameter of>2 cm,and low risk of complications.

关 键 词：CT引导 经皮肺穿刺活检 肺癌 诊断效能 穿刺成功 并发症 

分 类 号：R734.2[医药卫生—肿瘤]