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本研究对纳入患者的经CT、经超声,以及二者联合引导下经皮穿刺活检的效果进行比较,探究超声联合CT引导下经皮穿刺活检对周围型肺癌诊断的临床价值。结果显示,CT联合超声引导下经皮穿刺在良、恶性肿瘤的准确率均明显高于超声或CT单独引导下穿刺的准确率(P<0.05)。恶性肿瘤中,鳞状细胞癌、小细胞肺癌、分化较差的癌、大细胞癌、腺鳞癌、转移癌和不定型癌的准确率均为100%;良性病变中,肺脓肿、组织性肺炎、肺曲霉病、肺炎和肉芽肿的准确率均为100%。与CT引导下穿刺相比,CT联合超声引导下经皮穿刺气胸的发生率明显降低(P<0.05);与超声引导下穿刺相比,CT联合超声引导下经皮穿刺气胸和咳血的发生率明显降低(P<0.05)。说明CT联合超声引导下经皮穿刺是诊断周围型肺癌的灵敏工具,其可精确取材,提高患者的诊断准确率。
Abstract：In order to explore the clinical value of percutaneous biopsy guided by ultrasound combined with CT for the diagnosis of peripheral lung cancer, the effects of CT, ultrasound and combined guided percutaneous biopsy in the patients were compared. The results showed that the accuracy of benign and malignant tumors percutaneous biopsy guided by CT combined with ultrasound was significantly higher than that of ultrasound or CT alone(P<0.05). In malignant tumors, the accuracy rate is 100% for squamous cell carcinoma, small cell lung cancer, poorly differentiated cancer, large cell carcinoma,adenosquamous carcinoma,metastatic cancer,and indefinite cancer;in benign lesions,lung abscess and tissue pneumonia,pulmonary aspergillosis,pneumonia,and granuloma were all 100% accurate.Compared with CT-guided puncture,the incidence of percutaneous pneumothorax under CT and ultrasound guidance was significantly reduced(P<0.05).Compared with ultrasound-guided puncture,the incidence of percutaneous pneumothorax and hemoptysis under CT and ultrasound guidance was significantly reduced(P<0.05).In conclusion,CT combined with ultrasound-guided percutaneous puncture is a sensitive tool for the diagnosis of peripheral lung cancer.It can accurately obtain materials and improve the diagnostic accuracy of patients.
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基本信息:
中图分类号:R734.2;R730.44;R445.1
引用信息:
[1]周平辉,赵志强,杨婧,等.超声联合CT引导下经皮穿刺活检对周围型肺癌诊断的作用[J].影像科学与光化学,2020,38(04):652-656.
基金信息:
四川省医学会重症医学(国瑞)专项科研课题[2016ZZ012(GR)]
2020-07-15
2020-07-15