天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (4): 429-431.doi: 10.11958/j.issn.0253-9896.2015.04.026

• 应用研究 • 上一篇    下一篇

增强CT 引导下经皮肺穿刺活检术的应用研究

刘斌1,2，张洪3，李月川2△   

  1. 1天津医科大学（邮编300070）；2天津市胸科医院呼吸与危重症科，3天津市胸科医院影像科
  • 收稿日期:2014-10-28 修回日期:2015-01-14 出版日期:2015-04-15 发布日期:2015-04-13
  • 通讯作者: 李月川 E-mail:liyuechuandoctor@126.com
  • 作者简介:刘斌（1981），男，主治医师，硕士在读，主要从事呼吸系统疾病研究

Application of enhanced CT-guided percutaneously transthoracic lung biopsy

LIU Bin1,2，ZHANG Hong3，LI Yuechuan2△   

  1. 1 Tianjin Medical University, Tianjin 300070, China; 2 Department of Respiratory and Critical Care, Tianjin Chest Hospital, 3 Department of Radiology, Tianjin Chest Hospital
  • Received:2014-10-28 Revised:2015-01-14 Published:2015-04-15 Online:2015-04-13
  • Contact: LI Yuechuan E-mail:liyuechuandoctor@126.com

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摘要： 摘要：目的探讨增强CT 引导下经皮肺穿刺活检术的临床应用价值。方法回顾性分析423 例接受CT 引导下经皮肺穿刺活检患者的临床资料。比较增强CT 和平扫CT 在标本获取的满意率、病理阳性率、并发症、平均活检次数和更换穿刺点者所占比例的差异。结果（1）增强CT 组和平扫CT 组的平均活检次数及更换穿刺点患者比例的差异有统计学意义（3.08±1.05 vs 3.75±1.34，8.52% vs 18.54%，均P＜0.01）。（2）增强CT 组和平扫CT 组弹簧针取材满意率及病理的阳性率的差异有统计学意义（90.13% vs 73.60%，76.62% vs 63.36%，P＜0.01）。（3）增强CT 组和平扫 CT 组气胸和出血的发生率的差异有统计学意义（15.51% vs 27.53%，7.76% vs 14.04%，P＜0.05）。结论增强CT 引导下经皮穿刺肺活检取材满意率高，更容易获得病理阳性结果，并发症少，具有较高的临床应用价值。

关键词: 体层摄影术, X 线计算机；肺；活组织检查；气胸；出血；增强CT；并发症

Abstract: Abstract：Objective To investigate the clinic value of enhanced CT-guided percutaneously transthoracic lung biopsy. Methods A total of 423 patients who underwent CT-guided percutaneously transthoracic lung biopsy were retrospectively analyzed. The percentage of specimen are satisfactory，the rate of sample with pathological findings，the number of cases with complications，theaveragegoesofunsuccessfulbiopsyandthetimesofchangingpuncturepointwerecomparedbetweentheenhanced CT group and the plain CT group. Results Compare parameters in patients whose procedure were guided with the enhanced CT group and with plain CT group, the average goes of unsuccessful biopsy, the times of changing puncture point in patients, the percentage of specimen that were satisfactory, the rate of sample with positive pathological findings and the rate that complicated with pneumothorax or hemorrhage show statistical significance（. 3.08±1.05 vs 3.75±1.34, 8.52% vs 18.54%,90.13% vs 73.60%, 76.62% vs 63.36%, 15.51% vs 27.53%, 7.76% vs 14.04%, P＜0.05）. Conclusion In patient whose biopsys were guided by enhanced CT, the percentage of samples that are satisfactory is higher, the incidence of complication is fewer and the sample with pathological finding is higher compared to those in patients whose biopsys were guided by plain CT. Therefore, enhanced CTguided percutaneous transthoracic biopsy is more valuable than plane CT.

Key words: tomography, X-ray computed, lung, biopsy, pneumothorax, hemorrhage, enhanced CT, complication