[1]王 星.同轴凝血退针法在CT引导下经皮肺穿刺活检中的应用[J].医学信息,2022,35(21):156-158.[doi:10.3969/j.issn.1006-1959.2022.21.042]
　WANG Xing.Application of Coaxial Thrombin Needle Withdrawal Technique in CT-guided Percutaneous Lung Biopsy[J].Journal of Medical Information,2022,35(21):156-158.[doi:10.3969/j.issn.1006-1959.2022.21.042]
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同轴凝血退针法在CT引导下经皮肺穿刺活检中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
156-158
栏目:
诊疗技术
出版日期:
2022-11-01

文章信息/Info

Title:
Application of Coaxial Thrombin Needle Withdrawal Technique in CT-guided Percutaneous Lung Biopsy
文章编号:
1006-1959（2022）21-0156-03
作者:
王 星
（修水县第一人民医院肿瘤科，江西 修水 332400）
Author(s):
WANG Xing
(Department of Oncology,Xiushui County First People’s Hospital,Xiushui 332400,Jiangxi,China)
关键词:
同轴凝血退针法; CT引导; 经皮肺穿刺; 活检
Keywords:
Coaxial thrombin needle withdrawal technique; CT guidance; Percutaneous lung puncture; Biopsy
分类号:
R734
DOI:
10.3969/j.issn.1006-1959.2022.21.042
文献标志码:
A
摘要:
目的 研究同轴凝血退针法在CT引导下经皮肺穿刺活检中的应用。方法 选取2020年4月-2021年4月在我院诊治的行CT引导下经皮肺穿刺活检术且经手术组织病理确诊的肺疾病患者54例为研究对象，采用随机数字表法分为对照组和观察组，各27例。对照组采用同轴常规穿刺，观察组采用同轴凝血退针法，比较两组1次穿刺成功率、出血和气胸发生率、穿刺诊断效能。结果 观察组良性病变率、恶性病变率与对照组比较，差异无统计学意义（P＞0.05）；观察组1次穿刺成功率为96.30%，高于对照组的81.48%（P＜0.05）；观察组出血发生率为7.41%，低于对照组的18.52%（P＜0.05）；观察组气胸发生率为11.11%，低于对照组的33.33%（P＜0.05）；观察组诊断敏感度、特异度、准确率均高于对照组（P＜0.05）。结论 同轴凝血退针法在CT引导下经皮肺穿刺活检中应用价值确切，不仅可降低出血、气胸发生率，提高穿刺的安全性，而且具有较高的诊断效能。
Abstract:
Objective To study the application of coaxial thrombin needle withdrawal technique in CT-guided percutaneous lung biopsy.Methods A total of 54 patients with lung disease who underwent CT-guided percutaneous lung biopsy and were confirmed by surgical histopathology in our hospital from April 2020 to April 2021 were selected as study subjects. They were divided into a control group and an observation group using a random number table method, with 27 cases in each group. The control group was treated with coaxial conventional puncture, and the observation group was treated with coaxial thrombin needle withdrawal technique. The success rate of one puncture, the incidence of bleeding and pneumothorax, and the diagnostic efficiency of puncture were compared between the two groups.Results There was no significant difference in the benign lesion rate and malignant lesion rate between the observation group and the control group (P>0.05). The success rate of one puncture in the observation group was 96.30%, which was higher than 81.48% in the control group (P<0.05). The incidence of bleeding in the observation group was 7.41%, which was lower than 18.52% in the control group (P<0.05). The incidence of pneumothorax in the observation group was 11.11%, which was lower than 33.33% in the control group (P<0.05). The diagnostic sensitivity, specificity and accuracy of the observation group were higher than those of the control group (P<0.05).Conclusion The application value of coaxial thrombin needle withdrawal technique in CT-guided percutaneous lung biopsy is definite, which can not only reduce the incidence of bleeding and pneumothorax, improve the safety of puncture, but also has high diagnostic efficiency.

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更新日期/Last Update: 1900-01-01