摘要
目的 探讨空间三角定位法在CT引导下经皮肺穿刺活检术(CT-G PLB)中的临床价值,包括其对诊断准确性、穿刺损伤、并发症的影响。方法对2020年明至2023年10月广州中医药大学深圳医院(福田)收入的肺部占位性病变患者92例进行研究,所有患者均予CT-GPLB检查。依据随机数表将患者简单随机分为A组、B组,每组46例。A组予空间三角定位法行CT-GPLB,B组予传统方法行CT-GPLB。比较两组患者CT-GPLB结果、穿刺效率指标穿刺次数、一次进针成功率、二次进针成功率、穿刺操作时间、穿刺损害指标(术区出血率、术区出血量、气胸发生率、气胸肺压缩程度)、其余并发症发生率、患者满意度。分析空间三角定位法精准引导CT-GPLB应用价值。结果 92例患者中,共有89例经病理检查后确诊,两组患者CT-GPLB确诊率及病理结果分布比较(P>0.05)。与B组比较, A组患者穿刺次数更少,一次成功率更高,穿刺操作时间更短(P<0.05)。与B组比较,A组患者穿刺病灶区出血率、气胸发生率占比更少,出血患者出血量更少,气胸患者肺压缩程度更轻(P<0.05)。除出血与气胸外,两组患者其余并发症发生率比较(P>0.05)。与B组相比,A组总满意度(45/46 vs 39/46)更高(P<0.05)。结论 空间三角定位法精准引导CT-GPLB较传统CT-GPLB穿刺效率更高,能减少患者穿刺损害,提高患者满意度。
Objective To investigate the clinical value of spatial triangulation in CT-guided percutaneous lung biopsy(CT-GPLB),including its influence on diagnostic accuracy,punctu re injury and com plications.Methods A total of 92 patients with space-occu pying lu ng lesions admitted to Shenzhen Hospital of Guangzhou University of Traditional Chinese Medicine(Futian)from August 2020 to October 2023 were studied All patients were examined by CT-GPLB.According to the random number table,the patients were ra ndomly divided into group A and group B,with 46 cases in each group.Group A received CT-GPLB by spatial triangulation,group B received CT-GPLB by traditional method.The results of CT-GPLB,puncture efficiency indexes(puncture times,success rate of one injection,success rate of two injections,puncture operation time),puncture damage indexes(rate of intraoperative bleeding,amount of intraoperative bleeding,incidence of pneumothorax,occurrence a rea of pneumothorax),incidence of other complications,and patient satisfaction were compa red between the two groups.The application value of spatial triangulation method to guide CT-GPLB accu rately was analyzed.Results Among the 92patients,89 cases were confirmed by pathological exa mination.The diagnosis rate of CT-GPLB and the distribution of pathological results were compared between the two groups(P>0.05).Compared with group B,group A patients had fewer puncture times,A higher success rate,and a shorter puncture operation time(P<0.05).Compared with group B,the bleeding rate of puncture lesion area and the incidence of pneumothorax in group A were less,the bleeding volume of patients with hemorrhage was less,and the degree of pulmona ry compression of patients with pneumothorax was less(P<0.05).The incidence of other complications except hemorrhage and pneumothorax was compared between the two groups(P>0.05).Overall satisfaction was higher in group A(45/46 vs 39/46)than in group B(P<0.05).Conclusion Compared with traditional CT-GPLB puncture,the spatial triangulation method can accurately guide CT-GPLB puncture with higher efficiency,reduce puncture damage and improve patient satisfaction.
作者
桑池学
黄大侠
郑舒豪
刘和林
SANG Chi-xue;HUANG Da-xia;ZHENG Shu-hao;LIU He-lin(Department of Radiology,Hengqin Hospital,the First Affiliated Hospital of Guangzhou Medical University,Zhuhai 519000,Guangdong Province,China;Department of Radiology,Shenzhen Hospital(Futian)of Guangzhou University of Chinese Medicine,Shenzhen 518034,Guangdong Province,China)
出处
《中国CT和MRI杂志》
2025年第1期66-69,共4页
Chinese Journal of CT and MRI
基金
2020年度深圳市福田区卫生公益性科研项目(FTWS2020103)。
关键词
肺部占位性病变
空间三角定位法
经皮肺穿刺活检术
穿刺效率
穿刺损伤
Space-occupying Lung Lesions
Spatial Triangulation
Percutaneous Lung Biopsy
Puncture Efficiency
Puncture Injury
作者简介
第一作者:桑池学,男,主治医师,主要研究方向:呼吸系统、中枢神经系统的影像诊断。E-mail:xue96789@163.com;通讯作者:刘和林,男,主治医师,主要研究方向:胸部影像诊断及CT引导下穿刺活检。E-mail:1031020315@qq.com。
