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MSCT三维数字化导航气管隆突下间隙病变穿刺活检的研究
引用本文:张孔源,李现军,李凤岐,邢玉芝,胡强.MSCT三维数字化导航气管隆突下间隙病变穿刺活检的研究[J].实用放射学杂志,2017(7):1092-1095.
作者姓名:张孔源  李现军  李凤岐  邢玉芝  胡强
作者单位:潍坊市人民医院核医学科,山东 潍坊,261041
基金项目:山东省医药卫生科技发展计划项目(2015WS0072
摘    要:目的 探讨MSCT三维数字化导航技术在气管隆突下间隙病变穿刺活检中的临床应用价值.方法 将收治的82例需穿刺活检的气管隆突下间隙病变患者,随机分为对照组和研究组进行前瞻性研究,研究组41例患者采用MSCT三维数字化导航穿刺技术活检;对照组41例患者采用CT横断面引导下常规穿刺针活检;观察2组的一次性穿刺成功率,并发症发生率,手术时间,诊断正确率.结果 研究组一次性穿刺成功率87.80%(36/41),对照组一次性穿刺成功率60.97%(24/41)(χ2=8.945,P=0.005<0.05),差异有显著性意义.研究组并发症发生率14.63%(6/41),对照组并发症发生率41.45%(17/41)(χ2=7.31,P=0.007<0.05),差异有显著性意义.研究组穿刺时间(11.64±2.76) min,对照组穿刺时间(22.22±6.31) min(t=-11.70,P=-10.59<0.05),差异有显著性意义.研究组穿刺确诊率97.56%(40/41),对照组穿刺确诊率80.49%(33/41),2组比较差异有显著性意义(χ2=6.116,P=0.029 <0.05).结论 MSCT三维数字化导航技术显著提高了气管隆突下间隙病变穿刺活检的一次性穿刺成功率与穿刺精确度,降低了并发症发生率,具有较高的准确性与安全性.

关 键 词:气管隆突下间隙  计算机体层成像  穿刺活检

Application of MSCT three-dimensional digital navigated biopsy in subcarinal lesions
ZHANG Kongyuan,LI Xianjun,LI Fengqi,XING Yuzhi,HU Qiang.Application of MSCT three-dimensional digital navigated biopsy in subcarinal lesions[J].Journal of Practical Radiology,2017(7):1092-1095.
Authors:ZHANG Kongyuan  LI Xianjun  LI Fengqi  XING Yuzhi  HU Qiang
Abstract:Objective To investigate the application of MSCT three-dimensional digital navigated biopsy in subcarinal lesions.Methods 82 patients were enrolled.Study subjects were randomly divided into control group and research group.Three-dimensional positioning and three-dimensional navigation needle biopsy were used in research groups, while CT cross-sectional image positioning with conventional puncture needle was used in control group.Puncture accuracy, one-time success rate of puncture, complications, diagnosis accuracy and operation time were compared between the two groups.Results Puncture success rate, definite diagnosis rate were 87.80%(36/41) and 97.56%(40/41) for the research group,and 60.97%(24/41) and 80.49% (33/41) for the control group, respectively,which on the research group were higher than that on the control group(χ2=8.945, 6.116;P<0.05).Complication rate and operating time were 14.63% (6/41) and (11.64±2.76) min for the research group, and 41.45% (17/41) and (22.22±6.31) min for the control group, respectively, which were lower on the research group than that on the control group (χ2=7.31,t=-11.70,P<0.05).Conclusion MSCT three-dimensional digital navigated biopsy technique could promote the efficiency of subcarinal space puncture biopsy significantly,which is a novel, convenient, precise and safe method.
Keywords:subcarinal space  computed tomography  puncture biopsy
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