Application of PET/CT Image Assisted CT Guided Lung Biopsy
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摘要: 目的：探讨PET/CT影像辅助CT引导下肺穿刺活检的应用价值。方法：回顾性收集本院开展PET/CT影像辅助CT引导下肺穿刺病例53例及常规CT引导下肺穿刺120例。分别就两组病例的临床基本资料（年龄、性别、有无肺气肿）、病灶情况（大小、位置）、穿刺情况（穿刺体位、深度、取材满意度、取材次数）、并发症情况（出血、气胸、种植、空气栓塞）和病理结果，进行统计学分析，检验水准均为P<0.05有统计学意义。结果：两组病例1次取材满意、1次穿刺及2次穿刺分别引起的并发症有统计学差异，P值<0.05；病理结果阳性率有统计学差异，P值<0.05；临床、穿刺相关数据及总并发症无统计学差异，P值>0.05。结论：相比于常规CT引导的肺穿刺，PET/CT影像辅助肺穿刺，病理结果阳性率更高，并且可以明显减少二次进胸活检次数，减少并发症的发生。Abstract: Objective:To explore the application value of PET/CT image assisted CT guided lung biopsy. Method:Retrospective collection of 53 cases of pulmonary puncture under the guidance of PET/CT image assisted by CT in our hospital and 120 cases of lung puncture under conventional CT guidance. Count the basic clinical data(age, gender, emphysema), lesion status(size, location), puncture status(puncture position, depth, satisfaction with material sampling, number of times of sampling), and complication status(bleeding, pneumothorax, implantation, air embolism) and pathological results, statistical analysis. The test level is P < 0.05 with statistical significance. Results:There were statistically significant differences between the two groups of patients with satisfactory results in one material extraction, one puncture and two punctures, P < 0.05. The positive rate of pathological results is statistically different, P < 0.05. There was no statistical difference in clinical and puncture related data and total complications, P > 0.05. Conclusion:Compared with conventional CT-guided lung puncture, PET/CT assisted lung puncture has a higher positive rate of pathological results, and can significantly reduce the number of secondary chest biopsies and reduce the occurrence of complications.
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Keywords:
- percutaneous lung biopsy /
- PET/CT /
- complications /
- positive rate
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