中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
16期
111-112
,共2页
邓锻炼%向杰%胡长超%姚旺
鄧鍛煉%嚮傑%鬍長超%姚旺
산단련%향걸%호장초%요왕
周围型肺癌%CT引导下经皮肺穿刺活检术%临床价值
週圍型肺癌%CT引導下經皮肺穿刺活檢術%臨床價值
주위형폐암%CT인도하경피폐천자활검술%림상개치
Peripheral lung cancer%CT guided percutaneous puncture biopsy of the lung%Clinical value
目的：探讨对周围型肺癌以 CT 引导下经皮肺穿刺活检术进行诊断所具有的临床价值。方法：2009年9月-2014年1月收治疑似周围型肺癌患者68例，随机分为观察组和对照组各34例。观察组以CT引导下经皮肺穿刺活检术方法对其进行诊断，对照组以支气管镜肺活检方法进行诊断，观察并比较两组患者的确诊率和并发症情况。结果：观察组的确诊率88.2%，对照组的确诊率47.1%，两组差异有统计学意义，P＜0.05；观察组的并发症发生率5.9%，对照组的并发症发生率11.8%，两组差异无统计学意义，P＞0.05。结论：对于周围型肺癌而言，利用CT引导下经皮穿刺活检术方法进行诊断，能够得到比较理想的效果，临床诊断准确率比较高，并且所出现的并发症比较低，为周围型肺癌的诊断提供准确的诊断依据，有着十分重要的临床价值。
目的：探討對週圍型肺癌以 CT 引導下經皮肺穿刺活檢術進行診斷所具有的臨床價值。方法：2009年9月-2014年1月收治疑似週圍型肺癌患者68例，隨機分為觀察組和對照組各34例。觀察組以CT引導下經皮肺穿刺活檢術方法對其進行診斷，對照組以支氣管鏡肺活檢方法進行診斷，觀察併比較兩組患者的確診率和併髮癥情況。結果：觀察組的確診率88.2%，對照組的確診率47.1%，兩組差異有統計學意義，P＜0.05；觀察組的併髮癥髮生率5.9%，對照組的併髮癥髮生率11.8%，兩組差異無統計學意義，P＞0.05。結論：對于週圍型肺癌而言，利用CT引導下經皮穿刺活檢術方法進行診斷，能夠得到比較理想的效果，臨床診斷準確率比較高，併且所齣現的併髮癥比較低，為週圍型肺癌的診斷提供準確的診斷依據，有著十分重要的臨床價值。
목적：탐토대주위형폐암이 CT 인도하경피폐천자활검술진행진단소구유적림상개치。방법：2009년9월-2014년1월수치의사주위형폐암환자68례，수궤분위관찰조화대조조각34례。관찰조이CT인도하경피폐천자활검술방법대기진행진단，대조조이지기관경폐활검방법진행진단，관찰병비교량조환자적학진솔화병발증정황。결과：관찰조적학진솔88.2%，대조조적학진솔47.1%，량조차이유통계학의의，P＜0.05；관찰조적병발증발생솔5.9%，대조조적병발증발생솔11.8%，량조차이무통계학의의，P＞0.05。결론：대우주위형폐암이언，이용CT인도하경피천자활검술방법진행진단，능구득도비교이상적효과，림상진단준학솔비교고，병차소출현적병발증비교저，위주위형폐암적진단제공준학적진단의거，유착십분중요적림상개치。
Objective:To explore the clinical value of CT guided percutaneous puncture biopsy of the lung in the diagnosis of peripheral lung cancer.Methods:68 cases with suspected peripheral lung cancer were selected from September 2009 to January 2014.They were randomly divided into the observation group and the control group with 34 cases in each.The observation group were diagnosed by CT guided percutaneous pulmonary biopsy method,while the control group were diagnosed by transbronchial lung biopsy method.We observed and compared the two groups with case diagnosis rate and complications.Results:At the completion of the diagnosis,the diagnosis rate of the observation group was 88.2%,and the diagnosis rate of the control group was 47.1%.The difference between the two groups was significant(P<0.05).The complication rate of the observation grou was 5.9%, and the complication rate of the control group was 11.8%.The difference between the two groups was not significant(P>0.05). Conclusion:For peripheral lung cancer,using CT guided percutaneous lung biopsy for diagnosis can obtain the ideal effect.The accuracy of clinical diagnosis is relatively high,and the complication rate is very low.It provides accurate diagnosis basis for peripheral lung cancer,and there are very important clinical values.
