影像融合导航技术与CT在引导经皮肺穿刺活检中的应用价值比较

详细信息    查看全文 | 推荐本文 |

英文篇名：Clinical value of image fusion navigation and CT in guiding percutaneous lung biopsy 作者：彭巍炜 ; 李凤 ; 邱懿德 ; 陈颖瑜 ; 叶亚军 ; 黄伟俊 英文作者：Peng Weiwei;Li Feng;Qiu Yide;Chen Yingyu;Ye Yajun;Huang Weijun;Department of Ultrasound, the First People′s Hospital of Foshan;Department of Imaging, the First People′s Hospital of Foshan; 关键词：经皮肺穿刺活检 ; 影像融合 ; 肺部周围型病变 英文关键词：Percutaneously lung biopsy;;Image fusion;;Peripheral lung lesions 中文刊名：ZHCD 英文刊名：Chinese Journal of Medical Ultrasound(Electronic Edition) 机构：佛山市第一人民医院超声科;佛山市第一人民医院影像科; 出版日期：2019-02-01 出版单位：中华医学超声杂志(电子版) 年：2019 期：v.16 语种：中文; 页：ZHCD201902012 页数：4 CN：02 ISSN：11-9115/R 分类号：65-68

摘要

目的比较超声-CT影像融合导航技术引导下与CT引导下经皮肺穿刺活检对肺部周围型病变诊断的临床应用价值。方法回顾性分析2015年11月至2016年10月在佛山市第一人民医院经胸部CT确诊为肺部周围型病变需行经皮肺穿刺活检术,明确诊断的患者64例,其中经影像融合导航技术引导组32例,经CT引导组32例,采用四格表χ~2检验比较两组穿刺成功率和并发症发生率差异。结果影像融合引导组穿刺成功率93.8%(30/32),CT引导组穿刺成功率100.0%(32/32),两组比较,差异无统计学意义(χ~2=0.52,P=0.47)。影像融合引导组气胸、咯血等并发症发生率6.3%(2/32),CT引导组并发症发生率25.0%(8/32),两组比较,差异有统计学意义(χ~2=4.27,P=0.04)。结论经影像融合导航技术引导下经皮肺穿刺活检成功率较高、并发症发生率较低,是引导超声不能显示的肺部周围型病变穿刺活检的重要手段。
        Objective To investigate the clinical value of image fusion navigation and CT in percutaneous lung biopsy for peripheral lung lesions. Methods Sixty-four peripheral lung lesions were included in the research.These patients were divided into image fusion-guided group(32 cases) and CT-guided group(32 cases).The accuracy of puncture and the incidences of complications were comparatively analyzed.Results Thirty cases(93.8%) were successfully punctured in the image fusion-guided group,and 32 cases(100%) were successfully punctured in CT-guided group,there was no significance difference between the two groups(P=0.47). The incidences of complications was 6.3%(2/32) in image fusion-guided group and25.0%(8/32) in CT-guided group, there was a significantly difference between the two groups(P=0.04).Conclusion Image fusion-guided percutaneously transthoracic lung biopsy is a safe and accurate diagnostic procedure for peripheral lung lesions.

引文

1袁莹萍,石德顺,黄伟俊,等.病变性质对超声引导下经皮肺穿刺活检术的影响[J].中国超声医学杂志,2018,34(5):418-420.
    2张重明.CT引导下经皮肺穿刺活检术后发生肺出血的因素分析[J].中国介入影像与治疗学,2018,15(4):209-212.
    3伍玉晗,赵胜,刘丽萍,等.实时影像虚拟导航在新生儿颅脑中的初步应用[J].临床超声医学杂志,2018,20(8):572-573.
    4朱玉鹏,张德智,祝英乔.基于磁定位导航的影像融合联合针尖追踪技术引导微波消融治疗肝脏肿瘤1例[J].中国介入影像与治疗学,2018,15(1):63-64.
    5王文平,季正标,董怡,等.实时导航超声造影在小肝癌诊断中的应用研究[J/CD].中华医学超声杂志(电子版),2016,13(1):56-60.
    6黄伟俊,彭巍炜,邱懿德,等.实时影像融合导航技术在引导经皮肺穿刺活检中的应用价值[J].中国超声医学杂志,2017,33(9):840-842.
    7 Detterbeck FC,Franklin WA,Nicholson AG,et al.The IASLC lung cancer staging project:background data and proposed criteria to distinguish separate primary lung cancers from metastatic foci in patients with two lung tumors in the forthcoming eighth edition of the TNM classification for lung cancer[J].J Thorac Oncol,2016,11(5):651-665.
    8陈嘉欣,许尓蛟,李凯,等.CT/MRI-CEUS影像融合在原发性肝癌消融治疗中的临床价值[J/CD].中华肝脏外科手术学电子杂志,2015,4(6):352-356.
    9张曼,李凯,苏中振,等.融合成像技术辅助普通超声显示困难的肝恶性肿瘤射频消融的应用价值[J].中华超声影像学杂志,2016,25(8):691-695.
    10经翔.融合影像与磁导航技术在肝癌局部消融中的应用[J/CD].中华医学超声杂志(电子版),2012,9(8):663-666.
    11张燕,章美武,范晓翔,等.超声引导下经皮肺穿刺活检术对周围型肺癌的诊断价值[J].中华超声影像学杂志,2014,23(12):1087-1088.
    12 Li Y,Du Y,Yang HF,et al.CT-guided percutaneous core needle biopsy for small(≤20 mm)pulmonary lesions[J].Clin Radiol,2013,68(1):e43-e48.
    13李英,李辉,王思勤,等.CT引导下经皮肺穿刺活检术风险因素分析[J].中华实用诊断与治疗杂志,2012,26(5):495-496.
    14王庆文,解东兴,韩泽朝,等.超声引导肺穿刺活检气胸发生率的影响因素分析[J].中华超声影像学杂志,2015,24(11):1006-1008.
    15李凤,黄伟俊,彭巍炜,等.影像融合导航技术与超声引导下经皮肺穿刺活检的应用比较[J].广东医学,2018,39(z1):144-146,150.