首页|慢性阻塞性肺疾病合并肺结节患者行CT引导下肺穿刺活检术的诊断效率及安全性分析

慢性阻塞性肺疾病合并肺结节患者行CT引导下肺穿刺活检术的诊断效率及安全性分析

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目的 选择慢性阻塞性肺疾病合并肺结节患者展开研究,分析行CT引导下肺穿刺活检术的应用价值。方法 选取 2022 年 1 月至 2024 年 1 月就诊于赣州市肿瘤医院影像科的 60 例慢性阻塞性肺疾病合并肺结节患者作为研究对象,采用随机数字表法将其分为参照组(30 例)与试验组(30 例)。参照组行超声引导肺部穿刺活检术,试验组行CT引导肺部穿刺活检术。比较两组患者的诊断效率与安全性。结果 试验组一次穿刺成功率高于参照组,差异有统计学意义(P<0。05);试验组的穿刺有效时间少于参照组,差异有统计学意义(P<0。05);试验组的穿刺总时间短于参照组,差异有统计学意义(P<0。05);试验组的平均穿刺深度长于参照组,差异有统计学意义(P<0。05)。参照组患者并发症总发生率高于试验组,差异有统计学意义(P<0。05)。结论 在慢性阻塞性肺疾病合并肺结节患者中,行CT引导下肺穿刺活检术对患者来说具有一定的应用价值。原因在于,肺穿刺活检术主要为了早期诊断肺部疾病,而在CT引导下进行,可以有效提高患者的诊断准确性。同时,在CT引导下进行患者的术后并发症发生率较低,说明其具有较高的安全性,值得推广。
Diagnostic efficiency and safety analysis of CT-guided lung biopsy in pa-tients with chronic obstructive pulmonary disease complicated with pul-monary nodules
Objective To select patients with chronic obstructive pulmonary disease complicated with pulmonary nodules and analyze the value of CT guided lung biopsy.Methods A total of 60 patients with chronic obstructive pulmonary disease combined with pulmonary nodules admitted to Department of Imaging,Ganzhou Cancer Hospital from January 2022 to Jan-uary 2024 were selected as the study objects,and they were divided into the reference group(30 cases)and the experimental group(30 cases)according to the random number table method.The reference group underwent ultrasound-guided lung biopsy,and the experimental group underwent CT-guided lung biopsy.The diagnostic efficiency and safety of the two groups were compared.Results The success rate of puncture in test group was higher than that in reference group,the difference was statistically significant(P<0.05).The effective time of puncture in test group was less than that in reference group,and the difference was statistically significant(P<0.05).The total puncture time of test group was shorter than that of reference group,and the difference was statistically significant(P<0.05).The average puncture depth of test group was longer than that of reference group,and the difference was statistically significant(P<0.05).The total complication rate of reference group was higher than that of test group,the difference was statistically significant(P<0.05).Conclusion In chronic ob-structive pulmonary disease patients with pulmonary nodules,CT-guided lung biopsy has certain application value.The reason is that lung puncture biopsy is mainly for the early diagnosis of lung diseases,and CT-guided biopsy can effectively improve the diagnostic accuracy of patients.At the same time,the incidence of postoperative complications in patients un-dergoing CT-guided treatment is low,indicating that it has a high safety and is worth promoting.

Chronic obstructive pulmonary disease with pulmonary nodulesCt-guided lung puncture biopsyDiagnostic efficiencyDiagnostic security

刘宗彩、张守林、温美如、陈爱林

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江西省赣州市肿瘤医院影像科,江西赣州 341000

慢性阻塞性肺疾病合并肺结节 CT引导下肺穿刺活检术 诊断效率 诊断安全性

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(25)