比较超声引导下与CT引导下经皮穿刺无骨无肺气遮挡胸部病变

Comparison of ultrasound-guided and CT-guided percutaneous biopsy in diagnosis of chest lesions not blocked by bone nor lung

目的比较超声引导下与CT引导下经皮穿刺在无骨无肺气遮挡胸部病变诊断中的价值。方法收集无骨无肺气遮挡的胸部病变244例,分为超声组114例(超声引导下穿刺)和CT组130例(CT引导下穿刺),比较两组穿刺成功率、活检成功率及并发症发生率。结果超声组穿刺成功率[98.25%(112/114)]、活检成功率[96.49%(110/114)]高于CT组[86.92%(113/130)、79.23%(103/130)],并发症发生率[3.51%(4/114)]低于CT组[16.92%(22/130)],差异均有统计学意义(P均<0.01)。结论超声引导下经皮穿刺活检诊断无骨无肺气遮挡胸部病变较CT更安全、有效。

Objective To compare the value of ultrasound-guided and CT-guided percutaneous biopsy in diagnosis of chest lesions not blocked by bone nor lung.Methods A total of 244 patients with chest lesions not blocked by bone nor lung were collected and divided into ultrasound-guided group （n=114） or CT-guided group （n=130）. The puncture success rate, biopsy success rate and the complication rate were compared between the two groups.Results The puncture success rate （98.25%[112/114]） and biopsy success rate （96.49%[110/114]） in ultrasound-guided group were higher than those in CT-guided group （86.92%[113/130], 79.23%[103/130]）, and the complication rate （3.51%[4/114]） in ultrasound-guided group was lower than that in CT-guided group （16.92%[22/130], all P〈0.01）.Conclusion For chest lesions not blocked by bone nor lung, ultrasound is more secure and effective than CT for guiding percutaneous biopsy.