摘要
目的探讨CT引导下经皮肺穿刺对于肺部疾病的诊断价值及安全性,并对两种不同类型穿刺针(手动抽吸式及自动弹枪式)进行分组比较。方法收集河南省人民医院2012年2月至2012年5月经皮肺穿刺患者89例,根据病灶部位及性质选择使用不同类型的穿刺针,分析两组的穿刺结果及安全性。结果总体穿刺阳性率为80.9%(72/89),敏感性为96%(72/75),并发症发生率为31.5%(28/89),其中气胸13.5%(12/89)及出血18.0%(16/89)。自动切割组(A组)75例,手动抽吸组(B组)14例,两组在诊断阳性率、敏感性、良性疾病阳性率、恶性肿瘤阳性率、并发症发生率等方面均无统计学意义(P>0.05)。结论 CT引导下经皮肺穿刺对肺部疾病有较高的诊断价值,可根据患者病变位置及性质不同选择不同类型的穿刺针。
Objective To explore the value and security of diagnosis result identified by CT - guided percutaneous punc- ture of lung for patients with lung diseases, and compare different puncture needles including the type of automatic cutting and manual aspiration. Methods Totally 89 patients had underwent CT - gudied percutaneous puncture of lung between Feb. 2012 and May 2012. According to the different position and character of lesions, patients were respectively select- ed different puncture needles. The results of two methods were analyzed. Results Overall diagnostic rate was 80. 9% （72/89）. Sensitivity rate was 96% （72/75）. Complication rate was 31.5% （28/89） including pneumothorax （ 13.5% ） and bleeding （ 18.0% ）. The differences of all results with two methods were not significantly. Conclusions There is a high value and security to define the lung diseases with CT - guided percutaneous puncture. Different punc- ture needles should be chosen according to different position and character of lesions. Although complications may be oc- curred with pereutaneous puncture, most of which need not to be handled.
出处
《医药论坛杂志》
2013年第2期53-54,共2页
Journal of Medical Forum
关键词
CT
经皮肺穿刺
肺部疾病
诊断价值
CT
Percutaneous puncture of lung
Lung diseases
Diagnostic value
