CT引导下经皮肺穿刺活检病理与术后病理一致性的研究
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摘要
目的探讨CT引导下经皮肺穿刺术(PTNB)所获病理与术后病理结果的一致性及影响因素。方法回顾性分析2016年10月1日—2018年4月30日入住我科治疗,同时拥有PTNB病理报告及手术切除术后病理报告的肺癌患者共84例,评估两种方式所获取病理的一致性,并分析影响一致性的相关原因。结果 84组病理结果中PTNB所获病理与术后病理相同结果共有80例,诊断一致性为91.7%。其中鳞癌的一致性最高(97.1%),腺癌次之(93.3%),腺鳞癌及小细胞癌一致性较差。两种标本对鳞癌、腺癌的诊断误差无统计学意义(P> 0.05,k=0.832)。影响因素中经χ2检验,初步判断病灶大小是影响两种标本诊断一致性的关键因素(P=0.022)。结论PTNB所获病理与术后病理在非小细胞肺癌的诊断中一致性较高,具有临床应用价值;而病灶直径的大小是影响诊断准确性的关键因素。
Objective: To investigate the consistency and influencing factors between the pathology and postoperative pathological findings of CT-guided percutaneous lung puncture( PTNB). Methods: A retrospective analysis of 84 patients who were admitted to our department from October 1,2016 to April 30,2018,and who had PTNB pathology report and pathological report after surgical resection,evaluated the pathology obtained by the two methods. Consistency and analyze the relevant causes of consistency. Results: Of the 84 patients,the pathology of PTNB and the postoperative pathology were80. The diagnostic consistency was 91. 7%. Among them, squamous cell carcinoma has the highest consistency( 97. 1%),adenocarcinoma followed( 93. 3%),and adenosquamous carcinoma and small cell carcinoma have poor consistency. There were no statistically significant differences between the two specimens in the diagnosis of squamous cell carcinoma and adenocarcinoma( P > 0. 05,K = 0. 832). Among the influencing factors,the χ2test,preliminary judgment of the size of the lesion is the key factor affecting the consistency of the diagnosis of the two specimens( P = 0. 022). Conclusion:The pathology and postoperative pathology of PTNB have high consistency in the diagnosis of non-small cell lung cancer,and have clinical application value. The size of lesion diameter is the key factor affecting the diagnostic accuracy.
Objective: To investigate the consistency and influencing factors between the pathology and postoperative pathological findings of CT-guided percutaneous lung puncture( PTNB). Methods: A retrospective analysis of 84 patients who were admitted to our department from October 1,2016 to April 30,2018,and who had PTNB pathology report and pathological report after surgical resection,evaluated the pathology obtained by the two methods. Consistency and analyze the relevant causes of consistency. Results: Of the 84 patients,the pathology of PTNB and the postoperative pathology were80. The diagnostic consistency was 91. 7%. Among them, squamous cell carcinoma has the highest consistency( 97. 1%),adenocarcinoma followed( 93. 3%),and adenosquamous carcinoma and small cell carcinoma have poor consistency. There were no statistically significant differences between the two specimens in the diagnosis of squamous cell carcinoma and adenocarcinoma( P > 0. 05,K = 0. 832). Among the influencing factors,the χ2test,preliminary judgment of the size of the lesion is the key factor affecting the consistency of the diagnosis of the two specimens( P = 0. 022). Conclusion:The pathology and postoperative pathology of PTNB have high consistency in the diagnosis of non-small cell lung cancer,and have clinical application value. The size of lesion diameter is the key factor affecting the diagnostic accuracy.
引文
[1]张利锋,张淑妙,韩晶,等.个体化CT引导经皮肺穿刺对肺内占位病变活检的应用分析[J].天津医科大学学报,2018,24(1):58-61.
[2]段飞燕. CT引导下经皮肺穿刺活检术后并发症及其护理[J].实用临床医学,2018,19(1):75-77
[3]林义秋,李莉,夏冬梅.认知干预配合心理干预对CT引导下经皮肺穿刺活检术患者并发症及焦虑抑郁情绪的影响[J].中国健康心理学杂志,2018,26(07):1027-1031.
[4]蒋蕾,邱燕,张丽琴,等.自制体表定位器在CT引导下经皮肺穿刺活检术中的应用[J].当代护士(下旬刊),2018,25(03):188+191.
[5]李云飞,黄天银. CT引导下经皮肺穿刺活检在肺部占位性病变诊断中的诊断价值[J].影像研究与医学应用,2018,2(10):153-154.
[6]曹海明. CT引导下经皮穿刺活检术对周围型肺癌的诊断价值[J].河南医学研究,2018,27(05):852-853.
[7]刘晶晶,吴志远,黄蔚,等. CT引导下肺部肿瘤同轴穿刺活检联合微波消融治疗的临床应用[J].介入放射学杂志,2018,27(02):141-146.
[8]黎秋,时彩红.超声引导经皮肺穿刺活检诊断肺周围型占位性病变的临床价值[J].广西医学,2018,40(1):97-98,101.
[9]詹茜,黄挺,王铁功,等. CT引导下经皮肺穿刺活组织检查术后气胸发生的影响因素分析[J].第二军医大学学报,2018,39(2):139-143.
[2]段飞燕. CT引导下经皮肺穿刺活检术后并发症及其护理[J].实用临床医学,2018,19(1):75-77
[3]林义秋,李莉,夏冬梅.认知干预配合心理干预对CT引导下经皮肺穿刺活检术患者并发症及焦虑抑郁情绪的影响[J].中国健康心理学杂志,2018,26(07):1027-1031.
[4]蒋蕾,邱燕,张丽琴,等.自制体表定位器在CT引导下经皮肺穿刺活检术中的应用[J].当代护士(下旬刊),2018,25(03):188+191.
[5]李云飞,黄天银. CT引导下经皮肺穿刺活检在肺部占位性病变诊断中的诊断价值[J].影像研究与医学应用,2018,2(10):153-154.
[6]曹海明. CT引导下经皮穿刺活检术对周围型肺癌的诊断价值[J].河南医学研究,2018,27(05):852-853.
[7]刘晶晶,吴志远,黄蔚,等. CT引导下肺部肿瘤同轴穿刺活检联合微波消融治疗的临床应用[J].介入放射学杂志,2018,27(02):141-146.
[8]黎秋,时彩红.超声引导经皮肺穿刺活检诊断肺周围型占位性病变的临床价值[J].广西医学,2018,40(1):97-98,101.
[9]詹茜,黄挺,王铁功,等. CT引导下经皮肺穿刺活组织检查术后气胸发生的影响因素分析[J].第二军医大学学报,2018,39(2):139-143.