探讨CT引导下经皮肺穿刺活检术在肺部占位性病变中的诊断价值

索洪祥

【摘要】 目的 探讨CT引导下经皮肺穿刺活检术在肺部占位性病变中的诊断价值。方法 52例肺部占位性病变患者， 以随机抽签方式分为研究组及对照组， 各26例。研究组采取CT引导下经皮肺穿刺活检术进行诊断， 对照组采取超声引导下经皮肺穿刺活检术进行诊断。对比两组患者的一次性定位成功率、一次性活检成功率、并发症发生率及诊断准确率。结果 研究组患者一次性定位成功率為92.31%， 高于对照组的69.23%， 差异具有统计学意义（χ2=4.457， P=0.035<0.05）。研究组患者一次性活检成功率为100.00%， 高于对照组的65.38%， 差异具有统计学意义（χ2=10.884， P=0.000<0.05）。研究组患者并发症发生率为7.69%， 低于对照组的30.77%， 差异具有统计学意义（χ2=4.457， P=0.035<0.05）。研究组患者诊断准确率为96.15%， 对照组诊断准确率为88.46%， 对比差异无统计学意义（χ2=1.083， P=0.298>0.05）。结论 CT引导下经皮肺穿刺活检术在肺部占位性病变中的诊断价值显著， 对于肺部占位性病变的诊断准确性较高， 定位准确， 且对病灶的活检成功率较高， 并发症少， 值得推广应用于临床。

【关键词】 CT引导下经皮肺穿刺活检术；肺部占位性病变；诊断成功率；并发症

DOI：10.14163/j.cnki.11-5547/r.2017.09.019

Exploration on diagnostic value of CT guided percutaneous lung biopsy in lung space-occupying lesion SUO Hong-xiang. Shenyang Coal Group General Hospital， Shenyang 110122， China

【Abstract】 Objective To explore the diagnostic value of CT guided percutaneous lung biopsy in lung space-occupying lesion. Methods A total of 52 lung space-occupying lesion patients were divided by random lottery method into research group and control group， with 26 cases in each group. The research group received CT guided percutaneous lung biopsy for diagnosis， and the control group received ultrasound guided percutaneous lung biopsy for diagnosis. Comparison were made on one-time success rate of positioning， one-time success rate of biopsy， incidence of complications and diagnostic accuracy rate in two groups. Results The research group had higher one-time success rate of positioning as 92.31% than 69.23% in the control group， and the difference had statistical significance （χ2=4.457， P=0.035<0.05）. The research group had higher one-time success rate of biopsy as 100.00% than 65.38% in the control group， and the difference had statistical significance （χ2=10.884， P=0.000<0.05）. The research group had lower incidence of complications as 7.69% than 30.77% in the control group， and the difference had statistical significance （χ2=4.457， P=0.035<0.05）. The research group had diagnostic accuracy rate as 96.15%， while the control group had diagnostic accuracy rate as 88.46%， and the difference had no statistical significance （χ2=1.083， P=0.298>0.05）. Conclusion CT guided percutaneous lung biopsy shows significant diagnostic value in lung space-occupying lesion， which has high diagnostic and positioning accuracy for lung space-occupying lesion， and high biopsy success rate for lesions with less complications. So it is worth clinical popularization and application.

【Key words】 CT guided percutaneous lung biopsy； Lung space-occupying lesion； Diagnosis success rate； Complications

本研究为确定CT引导下经皮肺穿刺活检术在肺部占位性病变中的诊断价值， 将52例肺部占位性病变患者随机分组， 分别在CT、超声的引导下进行经皮肺穿刺活检术诊断， 现报告两组CT引导下经皮肺穿刺活检术在肺部占位性病变中的诊断价值如下。

1 资料与方法

1. 1 一般资料 本组52例肺部占位性病变患者均在2015年7月～2016年9月就诊， 已经胸片、CT、纤维胃镜、常规痰检、病理检查等明确诊断为肺部占位性病变。按照随机抽签方式将52例研究对象分成研究组、对照组， 各26例。其中， 研究组中男14例， 女12例；年龄26～80岁， 平均年龄（54.1±8.7）岁；平均病灶直径（3.1±0.9）cm；病理检查结果：肺鳞癌15例， 肺腺癌11例。对照组中男13例， 女13例；……