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目的对CT引导下经皮肺穿刺活检病理在肺部良性病变诊断中的临床应用进行研究探讨。方法 40例可疑肺结核患者,随机分为A组(19例)和B组(21例)。A组采用CT引导下经皮肺穿刺活检病理检查进行诊断;B组采用纤维支气管镜支气管肺泡灌洗液的细胞学及细菌学检查进行诊断。比较两组疾病检出率、诊断时间≤2周占比、并发症情况。结果 A组对肺部疾病的检出率为94.74%,优于B组的66.67%,差异有统计学意义(P<0.05)。A组并发症发生率为31.58%,B组并发症发生率为28.57%,两组比较差异无统计学意义(P>0.05)。A组诊断时间≤2周占比为100.00%,明显少于B组的66.67%,差异有统计学意义(P<0.01)。结论 CT引导下经皮肺穿刺活检病理检查在肺部良性病变检出率较高,诊断时间短,并发症较少,是一种具有较高实用性和安全性,简单、快捷、准确的诊断方法。
Objective To study the clinical application of CT-guided percutaneous lung biopsy in the diagnosis of benign lung diseases. Methods Forty patients with suspected pulmonary tuberculosis were randomly divided into group A (n = 19) and group B (n = 21). Group A was diagnosed by CT guided percutaneous lung biopsy; Group B was diagnosed by cytology and bacteriological examination of bronchial bronchoalveolar lavage fluid. Compare the detection rate of the two groups of diseases, diagnosis time ≤ 2 weeks, the complication. Results The detection rate of lung disease in group A was 94.74%, which was better than 66.67% in group B, the difference was statistically significant (P <0.05). The incidence of complications in group A was 31.58%, and that in group B was 28.57%. There was no significant difference between the two groups (P> 0.05). The diagnostic time in group A was 100.00% less than 2 weeks, significantly less than 66.67% in group B, the difference was statistically significant (P <0.01). Conclusion CT-guided percutaneous lung biopsy pathological examination in the detection of benign lung disease, high diagnostic time, fewer complications, is a highly practical and safe, simple, fast and accurate diagnosis method.