摘要
目的 探讨明胶海绵颗粒栓塞剂封堵术在电子计算机断层扫描(CT)引导下肺穿刺活检中的应用价值。方法 选择2023年1月—2024年12月本院收治的110例接受CT引导下肺穿刺活检后应用明胶海绵封堵的患者作为研究组,另选取同期于本院接受CT引导下肺穿刺活检未采用特殊处理的105例患者作为对照组。比较两组患者的穿刺成功率和穿刺用时;观察两组患者活检结果;比较两组患者并发症发生情况。结果 研究组和对照组患者CT引导下肺穿刺活检的穿刺成功率和穿刺用时比较,差异均无统计学意义(P>0.05);研究组107例穿刺成功活检病理结果中,84例恶性肿瘤,23例良性病变,对照组101例穿刺成功活检病理结果中,80例恶性肿瘤,良性病变21例,两组患者恶性肿瘤、良性病变占比差异无统计学意义(P>0.05);与对照组比较,研究组患者总出血发生率和气胸发生率高于对照组,差异均有统计学意义(P<0.05),其中研究组患者总出血发生率和气胸发生率低于对照组,其中研究组患者1级和2级出血率低于对照组,差异均有统计学意义(P<0.05)。结论 明胶海绵颗粒栓塞剂封堵术可显著降低CT引导下肺穿刺活检中机械性损伤造成的肺出血和气胸等并发症发生率,安全性好。
Objective To explore the application value of gelatin sponge particle embolization occlusion in lung biopsy guided by computed tomography(CT).Methods A total of 110 patients who underwent CT-guided lung biopsy and were subsequently sealed with gelatin sponge in Shouguang People's Hospital from January 2023 to December 2024 were selected as the study group,while another 105 patients who underwent CT-guided lung biopsy without special treatment at our hospital during the same period were selected as the control group.The success rate and time of puncture were compared between the two groups.The biopsy results of the two groups were observed.The incidences of complications were compared between the two groups.Results There were no significant differences in the success rate and time of CT-guided lung biopsy between the study group and the control group(P>0.05).Of the 107 successful biopsy results in the study group,84 were malignant tumors and 23 were benign lesions;of the 101 successful biopsy results in the control group,80 were malignant tumors and 21 were benign lesions.There was no statistically significant difference in the proportion of malignant tumors and benign lesions between the two groups of patients(P>0.05).Compared with the control group,the incidence of total bleeding and pneumothorax in the study group was lower than that in the control group,with statistically significant differences(P<0.05).The rates of grade 1 and grade 2 bleeding were also lower than those in the control group,with statistically significant differences(P<0.05).Conclusions Gelatin sponge granule embolization can significantly reduce the incidence of pulmonary hemorrhage and pneumothorax caused by mechanical injury in CT-guided lung biopsy,with good safety.
作者
李耀斌
贾兴国
孙铁峰
郭桂鑫
孙健
Li Yaobin;Jia Xingguo;Sun Tiefeng;Guo Guixin;Sun Jian(Department of Nuclear Medicine,Shouguang People’s Hospital,Shouguang,Shandong 262700,China;Imaging Center,Shouguang People’s Hospital,Shouguang,Shandong 262700,China;Oncology Department,Shouguang People’s Hospital,Shouguang,Shandong 262700,China)
出处
《齐齐哈尔医学院学报》
2025年第22期2141-2144,共4页
Journal of Qiqihar Medical University
基金
潍坊市健康科研项目(WFWSJK-2023-264)。
关键词
明胶海绵颗粒
封堵术
电子计算机断层扫描
肺穿刺活检
Gelatin sponge granules
Plugging operation
Electronic computed tomography
Lung puncture biopsy
