CT与B超引导下经皮肺活检的对比研究.pdfVIP

— — 34—— 塑堕 工程与临床2008年1月第l2卷第1期 BME＆Clin Med，January 2008，Vo1．12，No．1 · 临床研究· CT与B超引导下经皮肺活检的对比研究 杨敬平 ，孙德俊 ，李 君 ，乌日娜 ，徐喜媛 摘 要：目的 比较在CT与B超引导下经皮肺穿刺活检的特点并分析二者临床价值及安全性。方法 选取2003年5 月～2006年 10月肺内占位性病变患者93例，分为2组。超声能探及异常回声且病灶距胸壁2 am为B超组，41例，其 中男性30例，女性 l1例，年龄21～77岁；超声不能探及异常回声或病灶距胸壁 2 am为CT组，52例，其中男性 34 例，女性 18例，年龄42～75岁。比较两组穿刺活检的确诊率及并发症发生率。结果 CT及B超引导下经皮肺穿刺活检 的确诊率分别为98％及 100％，CT及B超引导下经皮肺穿刺活检的并发症发生率分别为 13．5％及4．5％，两者比较差 异有统计学意义(P0．05)。结论 B超引导下经皮肺穿刺活检的确诊率高，并发症低，操作迅速。但B超不能穿过空气， 对距胸壁2 am的病灶不宜选用，宜选用CT引导。 关键词：计算机X线断层摄影术：B超：经皮肺活检 中图分类号：R814．43 文献标识码：A 文章编号：1009—7090(2oo8)01一O034—04 The comparative study on pereutaneous lung biopsy under gm~ng of CT or ultrasonography YANG Jing-ping~，SUN De junb,LI Junb,wu Ri—naa．XU Xi-yuan (eaDepartment ofRespiratory and Critical Care Medicine：6．Department of Ultrasound，The~irdAffiliatedHospitalofInnerMongoliaMedicalCollege，Baotou 014010，InnerMongolia，China) Abstract：Objec five To CO mpare the characteristics of percutaneous lung biopsy under guiding of CT or uhrasonography． Methods In uhrasonography group there were 41 patients whose abnormal echo of the lung focus had been showed by uhrasonography and the distance of focus to the chest wall were less than 2 am．In CT group 52 patients whose lung focus were located more than 2 am away from the chest wal1．The diagnosis rate and incidence rate of complication were compared among two groups．Results The diagnosis rates in CT group and uhrasonography group were 98％ and 100％respectively．The incidence ratesofcomplicating diseasesinthe patients ofCTgroup and ultrasonography group were 13．5％ and 4．5％respectively．and there were significant differences between 2 groups(P0．05)．Conclusion The characteristics of lung biopsy under guiding of uhrasonography are higher in diagnosis rate．1ower in incidence rate of com