经皮肺穿刺与支气管镜活检对周围性肺癌的诊断价值

目的 对比经皮肺穿刺与支气管镜活检对周围性肺癌的诊断价值。方法 选取2014年6月~2018年7月我院就诊的69例可疑周围肺癌患者，将其随机分为两组，其中皮肺穿刺组30例，支气管镜活检组39例。比较两组患者阳性诊断率、病理诊断符合率、敏感度、特异度及并发症发生情况。结果 支气管镜活检组患者病理阳性诊断率79.48%高于皮肺穿刺组63.33%，差异有统计学意义（P＜0.05）。支气管镜活检组患者病理诊断符合率、灵敏度、特异度分别为92.31%、91.18%、100%高于皮肺穿刺的72.41%、80.95%、66.67%，差异有统计学意义（P＜0.05）。支气管镜活检组患者术后穿刺部位出血5例，气胸1例，咳血3例；皮肺穿刺组术后穿刺部位出血7例，咳血4例，气胸8例，两组间相比，差异有统计学意义（P＜0.05）。结论 在诊断周围性肺癌支气管镜活检比皮肺穿刺诊断效果更好、并发症发生率低，在临床应用时可优先考虑。

Diagnostic Value of Percutaneous Lung Biopsy and Bronchoscopic Biopsy in Peripheral Pulmonary Carcinoma

Objective To compare the value of percutaneous lung biopsy and biopsy in the diagnosis of peripheral lung cancer.Methods 69 cases of suspected peripheral pulmonary carcinoma patients in our hospital were randomly divided into two groups， 30 cases of percutaneous lung puncture group, 39 cases of bronchoscopic biopsy group. The positive diagnosis rate， pathological diagnosis coincidence rate， sensitivity， specificity and incidence of complications were compared between the two groups. Results The positive rate of biopsy in the bronchial biopsy group was 79.48% higher than that in percutaneous lung puncture group (63.33%)，and the difference was statistically significant(P<0.05).The rate of diagnostic accuracy, sensitivity and specificity of bronchoscopic biopsy group was 92.31%，91.18%，100% higher than that of the 72.41%，80.95%，66.67% in percutaneous lung puncture group, respectively， and the difference was statistically significant(P<0.05).In bronchoscopic biopsy group, postoperative bleeding around puncture point in 5 cases， pneumothorax in 1 case，hemoptysis in 3 cases；in percutaneous lung puncture group, there were 7 cases of bleeding around puncture point， 4 cases of hemoptysis，8 cases of pneumothorax， with statistically significant differences compared between the two groups(P<0.05).Conclusion Compared with percutaneous lung biopsy，the diagnosis effect of bronchoscopy biopsy was better and the incidence of complications was lower，it will be a priority in clinical application.