| 司马斌,邱小伟,赵阳,齐齐,王艺静.增强CT多平面重建定位技术引导经皮肺穿刺的临床价值研究[J].浙江中西医结合杂志,2022,32(9): |
| 增强CT多平面重建定位技术引导经皮肺穿刺的临床价值研究 |
| Clinical value of enhanced CT multiplanar reconstruction and localization technology in guiding percutaneous lung puncture |
| 投稿时间：2022-04-16 修订日期：2022-08-01 |
| DOI： |
| 中文关键词: 增强CT 多平面重建定位 肺穿刺 |
| 英文关键词:Enhanced CT Multiplanar reconstruction and location Lung puncture |
| 基金项目:杭州市科技局项目（20191203B133、20211231Y047） |
|
| 摘要点击次数: 761 |
| 全文下载次数: 10 |
| 中文摘要: |
| 摘要 目的 探索增强CT多平面重建定位技术在引导经皮肺穿刺的临床价值。方法 回顾性分析2020年1月-2021年12月193例CT引导下经皮经胸廓肺穿刺（percutaneous transthoracic needle biopsy，PTNB）病例临床资料，通过增强CT多平面重建技术（MPR）引导组分别对比分析参照组、平扫CT引导组的穿刺活检病理阳性率、并发症发生率（出血、气胸）。结果 所有患者均通过PTNB取得组织。增强CT MPR引导组穿刺活检病理阳性率均较参照组、平扫CT引导组高，数据差异有统计学意义（分别χ２=4.545，P＜0.05；χ２=5.922，P＜0.05）。增强CT MPR引导组穿刺活检出血发生率均较参照组、平扫CT引导组低，数据差异有统计学意义（分别χ２=4.434，P＜0.05；χ２=4.019，P＜0.05）。增强CT MPR引导组穿刺活检气胸发生率较照组低，而较平扫CT引导组高，数据差异无统计学意义（分别χ２=0.214，P=0.644；χ２=1.208，P=0.272）。结论 增强CT MPR引导PTNB可提高病理阳性率，并减少肺穿活检后出血风险。 |
| 英文摘要: |
| Abstract Objective To explore the clinical value of enhanced CT MPR in guiding percutaneous lung puncture. Methods The clinical data of 193 cases of CT guided percutaneous needle aspiration (PTNB) from January 2020 to December 2021 were analyzed retrospectively. The positive rate of biopsy pathology and the incidence of complications (bleeding and pneumothorax) in the reference group and the plain CT guided group were compared and analyzed by the enhanced CT multiplanar reconstruction (MPR) guided group.Result Tissue was obtained from all patients via PTNB. The positive rate of biopsy in the enhanced MPR guided group was higher than that in the Control Group and the plain CT guided group ( χ2 = 4.545, P < 0.05; χ2 = 5.922, P < 0.05) . The incidence of bleeding in MPR guided group was lower than that in control group and plain CT guided group ( χ2 = 4.434, P < 0.05; χ2 = 4.019, P < 0.05) . The incidence of pneumothorax in MPR guided group was lower than that in control group, but higher than that in plain CT guided group ( χ2 = 0.214, P = 0.644; χ2 = 1.208, P = 0.272) . Conclusion Enhanced CT MPR guided PTNB can increase the positive rate of pathology and reduce the risk of hemorrhage after lung biopsy. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
