医师在线2024,Vol.14Issue(9) :42-44.

激光定位引导下颅脑肿瘤穿刺活检术安全性和有效性的价值分析

Value analysis of the safety and effectiveness of laser-guided puncture biopsy of brain tumors

古运涛 翟聪 胡奇 杨刚
医师在线2024,Vol.14Issue(9) :42-44.

激光定位引导下颅脑肿瘤穿刺活检术安全性和有效性的价值分析

Value analysis of the safety and effectiveness of laser-guided puncture biopsy of brain tumors

古运涛 1翟聪 1胡奇 1杨刚1
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作者信息

  • 1. 岳阳市中心医院神经外科,湖南岳阳 414000
  • 折叠

摘要

目的 探究激光定位引导下颅脑肿瘤穿刺活检术安全性和有效性的价值.方法 选取2023年1月~2023年12月我院收治的疑似颅脑肿瘤患者共96例,均进行激光定位引导下颅脑肿瘤穿刺活检术.分析所有患者的活检结果,评估穿刺活检的准确性和安全性.结果 激光定位引导下颅脑肿瘤穿刺活检术的病理结果显示,恶性肿瘤主要包括脑胶质瘤、弥漫性大B细胞瘤、肺癌脑转移、神经母细胞瘤,良性肿瘤包括炎性病变、胶质细胞增生;激光定位引导下颅脑肿瘤穿刺活检术阳性结果87例,阴性结果9例,其中假阴性3例,假阳性0例,准确度为96.88%(93/96),灵敏度为96.67%(87/90),特异度为100%(6/6);本研究96例患者中,出现并发症的患者共8例,3例患者出现局部小片出血,其中2例患者伴有轻微头痛的症状,经过3 d左右的观察,患者的症状均减轻;4例患者术后出现颅内高压,经过抗感染、雾化化痰、营养神经及降压治疗后,症状均好转;1例患者出现脑疝后死亡.结论 激光定位引导下颅脑肿瘤穿刺活检术是一种有效的临床诊断方式,具有准确性高、安全性高的特点,对颅脑肿瘤的诊断有一定价值.

Abstract

Objective To explore the value of safety and effectiveness of laser-guided puncture biopsy of brain tumors.Methods A total of 96 patients with suspected brain tumor admitted to our hospital from January 2023 to December 2023 were selected.All patients underwent laser-guided puncture biopsy of craniocerebral tumors.The biopsy results of all patients were analyzed to evaluate the accuracy and safety of biopsy.Results The pathological results of laser-guided puncture biopsy of brain tumors showed that malignant tumors mainly included glioma,diffuse large B-cell tumor,lung cancer brain metastasis,neuroblastoma,and benign tumors included inflammatory lesions and glial cell hyperplasia.There were 87 cases of positive results,9 cases of negative results in brain tumor puncture biopsy guided by laser localization,,including 3 cases of false negative and 0 cases of false positive.The accuracy was 96.88%(93/96),the sensitivity was 96.67%(87/90),and the specificity was 100%(6/6).Among the 96 patients in this study,a total of 8 patients had complications,and 3 patients had local small pieces of bleeding,of which 2 patients had mild headache symptoms,after 3 days of observation,the symptoms of the patients were alleviated.Intracranial hypertension occurred in 4 patients after operation,and the symptoms were improved after anti-infection,atomization phlegm,nerve nutrition and antihypertensive treatment.One patient died after cerebral hernia.Conclusion Laser-guided puncture biopsy of brain tumor is an effective clinical diagnosis method with high accuracy and high safety,and has certain value in the diagnosis of brain tumors.

关键词

激光定位引导/颅脑肿瘤/穿刺活检/安全性/有效性

Key words

Laser positioning guidance/Brain tumor/Puncture biopsy/Safety/Effectiveness

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出版年

2024
医师在线

医师在线

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