本文選題：計(jì)算機(jī)斷層成像 + 氣管前腔靜脈后間隙　； 參考：《臨床放射學(xué)雜志》2017年09期

【摘要】：目的探討三維數(shù)字化導(dǎo)航穿刺技術(shù)在氣管前腔靜脈后(PTRC)間隙病變活檢中的應(yīng)用價(jià)值,提高穿刺活檢的準(zhǔn)確性與安全性。方法回顧性分析2013年1月至2016年10月本院收治的90例PTRC間隙病變需穿刺活檢的患者資料,44例患者采用三維數(shù)字化導(dǎo)航穿刺活檢作為研究組;46例患者采用常規(guī)CT橫斷面引導(dǎo)下穿刺針活檢作為對(duì)照組;采用χ2檢驗(yàn)比較兩組病例的一次性穿刺成功率、并發(fā)癥發(fā)生率、診斷正確率;采用t檢驗(yàn)比較兩組病例的手術(shù)時(shí)間。結(jié)果研究組一次穿刺成功率、診斷正確率分別是84.09%(37/44)、97.72%(43/44),對(duì)照組分別為41.34%(19/46)、71.74%(33/46),前者明顯高于后者(χ~2=17.52,11.56;P均0.05)。研究組并發(fā)癥發(fā)生率、手術(shù)時(shí)間分別為11.36%(5/44)和(11.64±2.76)分鐘,對(duì)照組分別為36.95%(17/46)和(22.22±6.31)分鐘,前者明顯低于后者(χ~2=7.98,t=10.27;P均0.05)。結(jié)論三維數(shù)字化導(dǎo)航PTRC間隙病變穿刺活檢明顯提高了一次穿刺成功率和診斷正確率,使并發(fā)癥發(fā)生率和穿刺時(shí)間明顯降低,具有較高的準(zhǔn)確性與安全性。
[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 鹵2.76 minutes, respectively, while in the control group were 36.95 / 17 / 46) and 22.22 鹵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.
【作者單位】： 山東省濰坊市人民醫(yī)院;
【基金】：山東省醫(yī)藥科技發(fā)展計(jì)劃項(xiàng)目(編號(hào):2015WS0072;2015WS0083)
【分類號(hào)】：R56;R816.41

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