多层螺旋CT三维数字化导航穿刺在气管前腔静脉后间隙病变活检中的应用

发布时间：2018-05-02 10:23

本文选题：腔静脉 + 气管　；参考：《中国医学影像学杂志》2017年01期

【摘要】：目的探讨多层螺旋CT三维数字化导航穿刺技术在气管前腔静脉后病变活检中的应用价值,提高穿刺活检的准确性与安全性。资料与方法前瞻性分析2013年1月—2015年12月收治的70例需穿刺活检的气管前腔静脉后间隙病变患者,随机分为研究组和对照组,研究组35例患者采用三维数字化导航穿刺仪活检;对照组35例患者采用CT横断面引导下常规穿刺针活检。比较两组患者的穿刺精确度、并发症发生率。结果研究组穿刺精确度分级高于对照组,差异有统计学意义(Z=-2.150,P0.05);研究组并发症发生率为11.43%,对照组为37.14%,两组差异有统计学意义(χ~2=6.293,P0.01)。结论多层螺旋CT三维数字化导航气管前腔静脉后间隙病变穿刺活检明显提高了穿刺精确度,降低了并发症发生率,具有较高的准确性与安全性。
[Abstract]:Objective to explore the application value of multislice spiral CT three-dimensional digital navigation technique in the biopsy of retrotracheal anterior vena cava disease, and to improve the accuracy and safety of the biopsy. Materials and methods from January 2013 to December 2015, 70 patients with posterior space lesions of anterior vena cava were randomly divided into study group and control group. 35 patients in the study group were biopsied with three dimensional digital navigation instrument and 35 patients in the control group were biopsies with conventional puncture needle guided by CT cross section. The accuracy of puncture and the incidence of complications were compared between the two groups. Results the accuracy grade of puncture in the study group was higher than that in the control group, the difference was statistically significant, and the incidence of complications was 11.43 in the study group and 37.14 in the control group. The difference between the two groups was statistically significant (蠂 ~ 2 / 2, 6.293, P 0.01). Conclusion Multi-slice spiral CT three-dimensional digital guided biopsy of posterior space lesions of anterior vena cava of trachea can significantly improve the accuracy of puncture, reduce the incidence of complications, and have higher accuracy and safety.
【作者单位】：潍坊市人民医院内科导管室;
【基金】：山东省科技发展计划项目(2012GHZ21816) 山东省医药科技发展计划项目(2015WS0072)
【分类号】：R564;R816.4

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