【摘要】：目的分析影響MSCT引導(dǎo)下經(jīng)皮穿刺切割活檢準(zhǔn)確率的可能因素。方法回顧性分析300例有手術(shù)病理或臨床及影像學(xué)隨訪結(jié)果、MSCT引導(dǎo)下經(jīng)皮穿刺切割活檢患者資料,將患者分為符合組和不符合組,對影響穿刺活檢準(zhǔn)確率的因素行統(tǒng)計(jì)學(xué)分析。結(jié)果 300例穿刺活檢總準(zhǔn)確率86.33%(259/300),術(shù)后并發(fā)癥發(fā)生率6.67%(20/300)。兩組病變大小、分布類型、病變內(nèi)有無大量壞死或較大空洞、肺部病變周圍是否合并阻塞性實(shí)變或不張)差異均有統(tǒng)計(jì)學(xué)意義(P均0.05),病變的良惡性對穿刺活檢準(zhǔn)確率的影響差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論影響MSCT引導(dǎo)下經(jīng)皮穿刺切割活檢準(zhǔn)確率的可能因素有病變大小、分布類型、病變內(nèi)有無大量壞死或較大空洞、肺部病變是否合并阻塞性實(shí)變或不張。
[Abstract]:Objective to analyze the possible factors influencing the accuracy of MSCT-guided percutaneous biopsy. Methods the data of 300 patients with MSCT guided percutaneous biopsy were analyzed retrospectively. The patients were divided into coincidence group and non-coincidence group. The factors influencing the accuracy of biopsy were analyzed statistically. Results the total accuracy of puncture biopsy was 86.33% (259 / 300) and the incidence of postoperative complications was 6.67% (20 / 300). There were significant differences between the two groups in the size and distribution of lesions, whether there were a large number of necrosis or large cavities in the lesions, and whether the pulmonary lesions were complicated with obstructive consolidation or atelectasis (P 0.05). There was no significant difference in the accuracy of biopsy between benign and malignant lesions (P0.05). Conclusion the possible factors affecting the accuracy of percutaneous biopsy guided by MSCT are the size and distribution of lesions, whether there are a large number of necrosis or large cavities in the lesions, and whether the pulmonary lesions are complicated with obstructive consolidation or atelectasis.
【作者單位】： 重慶三峽中心醫(yī)院放射科;
【分類號】：R563;R816.41

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