四维磁导航引导CT定位在经皮穿刺肺活检术中的应用价值研究
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摘要
目的探讨四维磁导航引导CT定位在经皮穿刺肺活检术中的应用价值研究。方法选取我院常规CT引导下经皮穿刺肺活检术的患者为对照组,四维磁导航引导CT定位经皮穿刺肺活检术为观察组,两组患者各30例。比较两组穿刺手术时间、并发症出现情况,分析四维磁导航引导CT定位经皮穿刺肺活检、氩氦刀冷冻治疗方面的技术优势与运用价值。结果两组均未有患者发生并发症,观察组(9.87±2.16)分钟比对照组(15.89±4.01)分钟穿刺时间短,两组数据具有统计学差异(t=7.239,P<0.05)。观察组出现一例导航工具V-TRACK信号不稳定。四维磁导航引导CT定位Multiple views手术时间较短,定位精准。结论四维磁导航引导CT定位微小病灶穿刺活检,创伤小,准确定位做到微小病灶早期发现与确诊肿瘤,获取组织学标本进行基因检测,利于在治疗的不同时期对患者进行治疗评估。
Objective To investigate the application value of Four-dimensional CT in percutaneus aspiration lung biopsy. Methods Patients with common CT guided percutaneus aspiration lung biopsy in our hospital were selected as control group and those with Four-dimensional computed tomography were seen as observation group, 30 cases in each group. Compare the piercing operation time, complication situation, technological superiority of Four-dimensional computed tomography in percutaneus aspiration lung biopsy and Ar-He cryoablation treatment of the two groups. ResultsNo complications occurred in patients. Piercing time of observation group(9.87±2.16)min was shorter than control group(15.89±4.01)min, the difference was statistically significant(t=7.239,P<0.05). One cases showed unstable radio signal in navigation tools in observation group. Four-dimensional magnetic guidance CT positioning views multiple operation time is short, precise positioning. Conclusion Four-dimensional CT applied in percutaneus aspiration lung biopsy has smaller trauma, accurate location and can make a definite diagnosis on tumor. It is beneficial fortreatment evaluation of patients at different phases.
Objective To investigate the application value of Four-dimensional CT in percutaneus aspiration lung biopsy. Methods Patients with common CT guided percutaneus aspiration lung biopsy in our hospital were selected as control group and those with Four-dimensional computed tomography were seen as observation group, 30 cases in each group. Compare the piercing operation time, complication situation, technological superiority of Four-dimensional computed tomography in percutaneus aspiration lung biopsy and Ar-He cryoablation treatment of the two groups. ResultsNo complications occurred in patients. Piercing time of observation group(9.87±2.16)min was shorter than control group(15.89±4.01)min, the difference was statistically significant(t=7.239,P<0.05). One cases showed unstable radio signal in navigation tools in observation group. Four-dimensional magnetic guidance CT positioning views multiple operation time is short, precise positioning. Conclusion Four-dimensional CT applied in percutaneus aspiration lung biopsy has smaller trauma, accurate location and can make a definite diagnosis on tumor. It is beneficial fortreatment evaluation of patients at different phases.
引文
[1]胡海英,付志,李纳新.CT引导下经皮肺穿刺活检术临床应用[J].中华实用诊断与治疗杂志,2011,25(1):61-62.
[2]张勇,李晓群,黄大钡,等.C型臂CT在肺结节活检术中的应用价值[J].中国介入影像与治疗学,2012,9(10):707-710.
[3]王小平,肖越勇.CT导航技术及其临床应用研究进展[J].国际医学放射学杂志,2012,35(1):66-69.
[4]杜焕旺,赵军.CT导向下弹簧式自动活检针经皮肺穿刺活检术的临床应用价值分析[J].中国CT和MRI杂志,2015,12(4):51-53.
[5]时飞跃,陈飞,林强,等.四维CT技术在放疗中的应用[J].医疗卫生装备,2014,35(7):114-115.
[6]李奉祥,李建彬,邢军,等.基于3D-CT与4D-CT定义的肝癌计划靶区比较[J].中华肿瘤防治杂志,2011,18(20):1639-1643.
[7]Gaudio F,Pedote P,Ferrante A,et al.CT-guided needle biopsy performed with modified coaxial technique in patients with refractory or recurrent lymphomas[J].Annals of Hematology,2014,93(9):1559-1564.
[8]Nouh M R,Abu Shady H M.Initial CT-guided needle biopsy of extremity skeletal lesions:Diagnostic performance and experience of a tertiary musculoskeletal center[J].European Journal of Radiology,2014,83(2):360-365.
[9]江明君.CT引导下经皮肺穿刺活检术对周围型肺癌的诊断价值探究[J].医学研究杂志,2015,44(3):131-134.
[10]杨肖华,黄新宇,汪国祥.CT引导下经皮肺穿刺活检术并发症的影响因素分析[J].介入放射学杂志,2013,22(8):658-662.
[11]蒙冲.CT引导下经皮肺活检术的临床应用价值及安全性分析[J].临床肺科杂志,2012,17(5):953-953.
[12]Grasso R F,Faiella E,Luppi G,et al.Percutaneous lung biopsy:comparison between an augmented reality CT navigation system and standard CT-guided technique[J].International Journal of Computer Assisted Radiology&Surgery,2013,8(5):837-48.
[13]李娜,薄常文,邹长鹏,等.氩氦刀冷冻治疗对非小细胞肺癌患者生存质量及免疫功能的影响[J].中国现代医学杂志,2014,24(24):37-39.
[2]张勇,李晓群,黄大钡,等.C型臂CT在肺结节活检术中的应用价值[J].中国介入影像与治疗学,2012,9(10):707-710.
[3]王小平,肖越勇.CT导航技术及其临床应用研究进展[J].国际医学放射学杂志,2012,35(1):66-69.
[4]杜焕旺,赵军.CT导向下弹簧式自动活检针经皮肺穿刺活检术的临床应用价值分析[J].中国CT和MRI杂志,2015,12(4):51-53.
[5]时飞跃,陈飞,林强,等.四维CT技术在放疗中的应用[J].医疗卫生装备,2014,35(7):114-115.
[6]李奉祥,李建彬,邢军,等.基于3D-CT与4D-CT定义的肝癌计划靶区比较[J].中华肿瘤防治杂志,2011,18(20):1639-1643.
[7]Gaudio F,Pedote P,Ferrante A,et al.CT-guided needle biopsy performed with modified coaxial technique in patients with refractory or recurrent lymphomas[J].Annals of Hematology,2014,93(9):1559-1564.
[8]Nouh M R,Abu Shady H M.Initial CT-guided needle biopsy of extremity skeletal lesions:Diagnostic performance and experience of a tertiary musculoskeletal center[J].European Journal of Radiology,2014,83(2):360-365.
[9]江明君.CT引导下经皮肺穿刺活检术对周围型肺癌的诊断价值探究[J].医学研究杂志,2015,44(3):131-134.
[10]杨肖华,黄新宇,汪国祥.CT引导下经皮肺穿刺活检术并发症的影响因素分析[J].介入放射学杂志,2013,22(8):658-662.
[11]蒙冲.CT引导下经皮肺活检术的临床应用价值及安全性分析[J].临床肺科杂志,2012,17(5):953-953.
[12]Grasso R F,Faiella E,Luppi G,et al.Percutaneous lung biopsy:comparison between an augmented reality CT navigation system and standard CT-guided technique[J].International Journal of Computer Assisted Radiology&Surgery,2013,8(5):837-48.
[13]李娜,薄常文,邹长鹏,等.氩氦刀冷冻治疗对非小细胞肺癌患者生存质量及免疫功能的影响[J].中国现代医学杂志,2014,24(24):37-39.