彩超引导斜角进针在胸膜穿刺切割式活检术中的应用

Clinical study of real-time guidance of oblique angle needle in pleural puncture and biopsy

目的研究彩超实时引导斜角进针在胸膜穿刺切割式活检术中的临床价值。方法 A组采用彩超引导斜角进针穿刺,B组实施传统体表定位穿刺,对比A组和B组患者出现血气胸、膈肌损伤等并发症的发生率、病理诊断结果中阳性符合率、胸膜穿刺命中率、住院时间及护理满意度。结果 A组并发症率(3%)显著低于B组(23%),A组阳性符合率(96%)明显高于B组(72%);A组穿刺命中率(98%)及护理满意度(99%)均明显高于B组,而住院时间(7.2±3.25)d却显著少于B组,2组数据有着显著差异(P<0.05)。结论在胸膜穿刺活检术中采用彩超实时引导斜角进针,可提高胸膜病变的穿刺活检取出成功率和病理诊断符合率,指导临床对症治疗,缩短住院时间,减轻患者经济负担和精神压力,提高临床疗效,可进一步提高赣南地区介入超声和临床治疗水平。

Objective To study the clinical value of real-time guided oblique needle entry in transsphenoidal biopsy. Methods Group A was treated with color Doppler ultrasonography, and group B was treated with traditional body surface puncture. The incidence of complications such as pneumothorax and diaphragm injury in group A and group B was significantly higher than that in group A and group B, Pleural puncture hit rate, hospital stay and nursing satisfaction. Results The complication rate of group A （3%o） was significantly lower than that of group B （23 % ）. The positive rate of group A （96 %） was significantly higher than that of group B （7200 ） ; Nursing satisfaction （99%） was significantly higher than that of group B, while hospitalization time （7.2 ± 3.25）d was significantly less than that of group B, and there was significant difference between the two groups （P〈 0. 05）. Conclusion The use of color doppler ultrasound in the pleural biopsy can improve the success rate of the biopsy of the pleural lesions and the coincidence rate of pathology, to guide the clinical symptomatic treatment, shorten the hospitalization time, reduce the economic burden and mental stress, Improve clinical efficacy, can further improve my Gannan region involved in ultrasound and clinical treatment level, it is recommended.