CT引导下经皮肺穿刺针吸术在肺癌诊断中的应用效果分析
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摘要
目的在肺癌诊断中应用CT引导下经皮肺穿刺针吸术,以此观察应用CT引导下经皮肺穿刺针吸术的应用效果。方法方便选择接受胸部CT检查且显示存在肺内占位患者,患者共计100例,选择时间于2016年3月—2018年8月,对所有患者均予以CT引导下经皮肺穿刺针吸术检查。分析穿刺成功率、穿刺并发症发生率、细胞学检查结果。结果 100例疑似为肺癌患者实施CT引导下经皮肺穿刺针吸术之后,穿刺成功率为98.00%(98/100),穿刺确诊率为92.00%(92/100);发生气胸、咯血患者分别有9例和5例;另外有8例患者未得到确诊则予以远期随访,确诊为肺癌。结论 CT引导下经皮肺穿刺针吸术在肺癌诊断中的应用效果显著,其检查操作简单,确诊率极高,尤其对直径在3 cm之下、大血管病灶组织、邻近脏器病灶的诊断中,具有较为显著的临床诊断价值。
Objective To investigate the effect of CT-guided percutaneous lung puncture acupuncture in the diagnosis of lung cancer by CT-guided percutaneous lung aspiration. Methods Patients who underwent chest CT examination and showed presence in the lungs were enrolled. The total number of patients was 100 cases. The patients were convenient selected from March 2016 to August 2018. All patients underwent CT-guided percutaneous lung puncture and needle aspiration. Analyze the success rate of puncture, the incidence of puncture complications, and the results of cytology. Results After 100 cases of suspected lung cancer patients underwent CT-guided percutaneous lung aspiration, the successful rate of puncture was 98.00%(98/100), and the diagnostic rate of puncture was 92.00%(92/100). Patients with pneumothorax and hemoptysis occurred. There were 9 cases and 5 cases respectively. In addition, 8 patients were followed up for a long time without diagnosis. The diagnosis was lung cancer. Conclusion CT-guided percutaneous lung aspiration has a significant effect in the diagnosis of lung cancer. Its examination is simple and the diagnosis rate is extremely high, especially for the diagnosis of large vascular lesions and adjacent organs. Among them, it has a significant clinical diagnostic value.
Objective To investigate the effect of CT-guided percutaneous lung puncture acupuncture in the diagnosis of lung cancer by CT-guided percutaneous lung aspiration. Methods Patients who underwent chest CT examination and showed presence in the lungs were enrolled. The total number of patients was 100 cases. The patients were convenient selected from March 2016 to August 2018. All patients underwent CT-guided percutaneous lung puncture and needle aspiration. Analyze the success rate of puncture, the incidence of puncture complications, and the results of cytology. Results After 100 cases of suspected lung cancer patients underwent CT-guided percutaneous lung aspiration, the successful rate of puncture was 98.00%(98/100), and the diagnostic rate of puncture was 92.00%(92/100). Patients with pneumothorax and hemoptysis occurred. There were 9 cases and 5 cases respectively. In addition, 8 patients were followed up for a long time without diagnosis. The diagnosis was lung cancer. Conclusion CT-guided percutaneous lung aspiration has a significant effect in the diagnosis of lung cancer. Its examination is simple and the diagnosis rate is extremely high, especially for the diagnosis of large vascular lesions and adjacent organs. Among them, it has a significant clinical diagnostic value.
引文
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[7]施宗明,潘诚志,杨国宗.血清肿瘤标志物联合检测在肺癌诊断与鉴别诊断中的应用分析[J].按摩与康复医学,2017,8(16):1-3.
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[9]谭珊玲.周围型肺癌的多层螺旋CT诊断体会[J].临床医药文献杂志:电子版,2017,4(68):13399-13400.
[10]Wilson, David O,Weissfeld Joel.A simple model for predic ting lung cancer occurrence in a lung cancer screening program:The Pittsburgh Predictor[J].Lung cancer:Journal of the International Association for the Study of Lung Cancer,2015,89(1):31-37.
[11]Zheng, Yifan,Bueno, Raphael.Commercially available prognostic molecular models in early-stage lung cancer:a review of the Pervenio Lung RS and Myriad myPlan Lung Cancer tests[J].Expert Review of Molecular Diagnostics,2015,15(5):589-596.
[12]赵书存.恶性肿瘤特异性标志物在肺癌早期诊断中的实用价值[J].中国医学工程,2016,24(2):129-130.
[13]Nishino, Mizuki,Cardarella, et al.Interstitial lung abnorma lities in treatment-naive advanced non-small-cell lung cancer patients are associated with shorter survival[J].European Journal of Radiology,2015,84(5):998-1004.
[2]倪冠英,左晓军.氟代脱氧葡萄糖PET—CT在非小细胞肺癌区域淋巴结诊断及分期中的价值[J].中华放射医学与防护杂志,2015,35(10):761-764.
[3]唐云,谷伟,方苏榕.声弹性成像技术诊断近胸膜肿块及肺癌转移性淋巴结研究进展[J].中华医学超声杂志:电子版,2017,14(8):598-601.
[4]方永雄.肺癌患者早期采用低剂量螺旋CT扫描与血清p53抗体检测联合诊断的临床意义[J].吉林医学,2015,36(5):891-892.
[5]Parker Mark S,Groves Robert C,Fowler, Alpha A, et al.Lung Cancer Screening With Low-dose Computed Tomography An Analysis of the MEDCAC Decision[J].Journal of thoracic imaging,2015,30(1):15-23.
[6]林颖,邹天士,杨志明,等.支气管镜下钳检、刷检联合针吸活检在肺癌诊断中的应用价值[J].海南医学,2017,28(9):1525-1526.
[7]施宗明,潘诚志,杨国宗.血清肿瘤标志物联合检测在肺癌诊断与鉴别诊断中的应用分析[J].按摩与康复医学,2017,8(16):1-3.
[8]谷存谦.螺旋CT诊断肺癌的临床应用价值探讨[J].影像研究与医学应用,2017,1(2):96-97.
[9]谭珊玲.周围型肺癌的多层螺旋CT诊断体会[J].临床医药文献杂志:电子版,2017,4(68):13399-13400.
[10]Wilson, David O,Weissfeld Joel.A simple model for predic ting lung cancer occurrence in a lung cancer screening program:The Pittsburgh Predictor[J].Lung cancer:Journal of the International Association for the Study of Lung Cancer,2015,89(1):31-37.
[11]Zheng, Yifan,Bueno, Raphael.Commercially available prognostic molecular models in early-stage lung cancer:a review of the Pervenio Lung RS and Myriad myPlan Lung Cancer tests[J].Expert Review of Molecular Diagnostics,2015,15(5):589-596.
[12]赵书存.恶性肿瘤特异性标志物在肺癌早期诊断中的实用价值[J].中国医学工程,2016,24(2):129-130.
[13]Nishino, Mizuki,Cardarella, et al.Interstitial lung abnorma lities in treatment-naive advanced non-small-cell lung cancer patients are associated with shorter survival[J].European Journal of Radiology,2015,84(5):998-1004.