肺结节患者应用CT引导下针吸活检对比切割活检的诊断价值研究

Diagnostic Value of CT-guided Needle Aspiration Versus Cutting Biopsy in Patients with Pulmonary Nodules

目的探讨CT引导下针吸活检对比切割活检在肺结节患者中诊断价值。方法选取2015年3月—2019年3月本院收治CT下行肺结节诊断患者50例,将患者分为A组和B组,其中A组35例患者实施针吸活检,B组15例患者实施切割活检,对比两组患者诊断的准确率、敏感度及并发症的发生情况。结果两组患者穿刺成功率均为100%,其中A组诊断准确率和敏感率与B组差异无统计学意义(P>0.05);A组邻近肺野出血发生率显著少于B组(P<0.05);A组气胸、胸膜下血肿及渗血等并发症与B组差异无统计学意义(P>0.05)。结论肺结节患者在CT下应用针吸活检或切割活检均具有较高的准确性和敏感性,且切割活检患者邻近肺野出血并发症显著高于针刺活检患者。

Objective To investigate the diagnostic value of CT-guided needle aspiration biopsy compared with cutting biopsy in patients with pulmonary nodules.Methods 50 patients with pulmonary nodules diagnosed under CT from March,2015 to March,2019 were divided into two groups,i.e.Group A and Group B.35 patients in group underwent needle aspiration biopsy,and 15 patients in Group B underwent cutting biopsy.The diagnostic accuracy,sensitivity and complications of two groups were compared.Results The success rate of puncture was 100%in both groups,and there was no significant difference in diagnostic accuracy and sensitivity between Group A and Group B(P>0.05),and the incidence of adjacent pulmonary field hemorrhage in Group A was significantly lower than that in Group B(P<0.05).There was no significant difference in the complications of pneumothorax,subpleural hematoma and bleeding between group A and Group B(P>0.05).Conclusion Both needle aspiration biopsy and cut biopsy have high accuracy and sensitivity in patients with pulmonary nodules under CT,and the complications of adjacent lung field hemorrhage in patients with cut biopsy are significantly higher than those in patients with needle biopsy.