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CT引导下经皮肺穿刺活检对肺癌的诊断价值

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目的 探讨CT引导下经皮穿刺活检对肺癌的诊断价值.方法 选择2019年7月至2024年4月期间宝应县中医医院收治的疑似肺癌患者66例,均予CT引导下经皮肺穿刺活检,以术后病理诊断结果为金标准,分析穿刺成功情况,评估该方案对肺癌的诊断效能,比较不同特征患者诊断准确率的差异,并统计并发症发生率.结果 66例患者一次穿刺成功与总穿刺成功率分别为95.45%、100.00%.CT引导下经皮肺穿刺活检对肺癌诊断准确度为95.45%、灵敏度为94.64%、特异度为100.00%、阳性预测值为100.00%、阴性预测值为76.92%,与金标准一致性较好(Kappa=0.84).病灶直径>2 cm者诊断准确率为100.00%,高于直径≤2 cm者(82.35%),P<0.05.66例患者并发症情况包括气胸2例、出血1例、咳血1例,总发生率6.06%.结论 CT引导下经皮肺穿刺活检穿刺成功率高,对肺癌尤其是直径>2c m肺癌的诊断效能高,且并发症风险低.
The Diagnostic Value of CT-Guided Percutaneous Lung Biopsy for Lung Cancer
Objective:To explore the diagnostic value of CT-guided percutaneous biopsy in lung cancer.Methods:From July 2019 to April 2024,66 patients with suspected lung cancer admitted to Baoying County Hospital of Tra-ditional Chinese Medicine were selected,all of whom underwent CT-guided percutaneous lung biopsy.Taking postoperative pathological diagnosis as the gold standard,the success of puncture was analyzed,the diagnostic effica-cy of the scheme for lung cancer was evaluated,the differences of diagnostic accuracy of patients with different char-acteristics were compared,and the incidence of complications was counted.Results:The success rate of one puncture and total puncture in 66 patients were 95.45%and 100.00%respectively.The diagnostic accuracy、sensitivity、spe-cificity、positive predictive value and negative predictive value of CT-guided percutaneous lung biopsy for lung cancer are 95.45%、94.64%、100.00%、100.00%and 76.92%,which are in good agreement with the gold standard(Kappa=0.84).The diagnostic accuracy of lesions with a diameter greater than 2 cm was 100.00%,which was higher than that with a diameter less than 2 cm(82.35%),P<0.05.Complications of 66 patients included pneumo-thorax in 2 cases,hemorrhage in 1 case and hemoptysis in 1 case,with a total incidence of 6.06%.Conclusion:CT-guided percutaneous lung biopsy has high success rate,high diagnostic efficiency for lung cancer,especially lung cancer with a diameter of>2 cm,and low risk of complications.

CT guidancepercutaneous lung biopsyLung cancerDiagnostic efficacySuccessful punctureCompli-cations

王海洋、乔红

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宝应县中医医院肿瘤科,江苏宝应 225800

CT引导 经皮肺穿刺活检 肺癌 诊断效能 穿刺成功 并发症

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(5)