三维数字化导航仪在气管前腔静脉后间隙病变穿刺活检中的价值

发布时间：2018-05-03 03:04

本文选题：计算机断层成像 + 气管前腔静脉后间隙　；参考：《临床放射学杂志》2017年09期

【摘要】：目的探讨三维数字化导航穿刺技术在气管前腔静脉后(PTRC)间隙病变活检中的应用价值,提高穿刺活检的准确性与安全性。方法回顾性分析2013年1月至2016年10月本院收治的90例PTRC间隙病变需穿刺活检的患者资料,44例患者采用三维数字化导航穿刺活检作为研究组;46例患者采用常规CT横断面引导下穿刺针活检作为对照组;采用χ2检验比较两组病例的一次性穿刺成功率、并发症发生率、诊断正确率;采用t检验比较两组病例的手术时间。结果研究组一次穿刺成功率、诊断正确率分别是84.09%(37/44)、97.72%(43/44),对照组分别为41.34%(19/46)、71.74%(33/46),前者明显高于后者(χ~2=17.52,11.56;P均0.05)。研究组并发症发生率、手术时间分别为11.36%(5/44)和(11.64±2.76)分钟,对照组分别为36.95%(17/46)和(22.22±6.31)分钟,前者明显低于后者(χ~2=7.98,t=10.27;P均0.05)。结论三维数字化导航PTRC间隙病变穿刺活检明显提高了一次穿刺成功率和诊断正确率,使并发症发生率和穿刺时间明显降低,具有较高的准确性与安全性。
[Abstract]:Objective to evaluate the value of three dimensional digital navigation puncture technique in the biopsy of PTRC space lesions of anterior vena cava (PVC) and to improve the accuracy and safety of the biopsy. Methods from January 2013 to October 2016, the data of 90 patients with PTRC space lesions requiring biopsy were retrospectively analyzed. 44 patients were treated with three-dimensional digital navigation biopsy as the study group, 46 patients were treated with conventional CT transversal biopsy. Cross section guided needle biopsy was used as control group. 蠂 2 test was used to compare the success rate of one-off puncture, the incidence of complications and the correct rate of diagnosis in the two groups, and t test was used to compare the operation time of the two groups. Results the successful rate of one puncture in the study group and the diagnostic accuracy were 84.09 / 37 / 44 / 97 / 72 and 41.34 / 46 / 71.74 / 46 respectively in the control group. The former was significantly higher than the latter (蠂 ~ (2) + 17.52 / 11.56P). The incidences of complications in the study group were 11.36 / 44 and 11.64 卤2.76 minutes, respectively, while in the control group were 36.95 / 17 / 46) and 22.22 卤6.31 minutes, respectively. The former was significantly lower than that in the latter (蠂 ~ (2 +) 7.98 / 10.27) (P = 0.05). Conclusion Three-dimensional digital navigation biopsy of interstitial lesions of PTRC can improve the success rate and diagnostic accuracy of single puncture, reduce the incidence of complications and puncture time, and have high accuracy and safety.
【作者单位】：山东省潍坊市人民医院;
【基金】：山东省医药科技发展计划项目(编号:2015WS0072;2015WS0083)
【分类号】：R56;R816.41

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