摘要
目的比较超声-CT影像融合导航技术引导下与CT引导下经皮肺穿刺活检对肺部周围型病变诊断的临床应用价值。方法回顾性分析2015年11月至2016年10月在佛山市第一人民医院经胸部CT确诊为肺部周围型病变需行经皮肺穿刺活检术,明确诊断的患者64例,其中经影像融合导航技术引导组32例,经CT引导组32例,采用四格表χ^2检验比较两组穿刺成功率和并发症发生率差异。结果影像融合引导组穿刺成功率93.8%(30/32),CT引导组穿刺成功率100.0%(32/32),两组比较,差异无统计学意义(χ^2=0.52,P=0.47)。影像融合引导组气胸、咯血等并发症发生率6.3%(2/32),CT引导组并发症发生率25.0%(8/32),两组比较,差异有统计学意义(χ^2=4.27,P=0.04)。结论经影像融合导航技术引导下经皮肺穿刺活检成功率较高、并发症发生率较低,是引导超声不能显示的肺部周围型病变穿刺活检的重要手段。
Objective To investigate the clinical value of image fusion navigation and CT in percutaneous lung biopsy for peripheral lung lesions. Methods Sixty-four peripheral lung lesions were included in the research.These patients were divided into image fusion-guided group(32 cases) and CT-guided group(32 cases).The accuracy of puncture and the incidences of complications were comparatively analyzed.Results Thirty cases(93.8%) were successfully punctured in the image fusion-guided group,and 32 cases(100%) were successfully punctured in CT-guided group,there was no significance difference between the two groups(P=0.47). The incidences of complications was 6.3%(2/32) in image fusion-guided group and25.0%(8/32) in CT-guided group, there was a significantly difference between the two groups(P=0.04).Conclusion Image fusion-guided percutaneously transthoracic lung biopsy is a safe and accurate diagnostic procedure for peripheral lung lesions.
作者
彭巍炜
李凤
邱懿德
陈颖瑜
叶亚军
黄伟俊
Peng Weiwei;Li Feng;Qiu Yide;Chen Yingyu;Ye Yajun;Huang Weijun(Department of Ultrasound, the First People′s Hospital of Foshan, Foshan 528000, China;Department of Imaging, the First People′s Hospital of Foshan, Foshan 528000, China)
出处
《中华医学超声杂志（电子版）》
CSCD
北大核心
2019年第2期138-141,共4页
Chinese Journal of Medical Ultrasound(Electronic Edition)
