[1]李 昊,袁 牧.CT引导下经皮肺穿刺活检在80岁及以上患者中的诊断准确性及安全性[J].介入放射学杂志,2025,34(04):414-417.[doi:10.3969/j.issn.1008-794X.2025.04.014]
　LI Hao,YUAN Mu..The diagnostic accuracy and safety of CT-guided percutaneous lung biopsy in ≥80 years patients[J].journal interventional radiology,2025,34(04):414-417.[doi:10.3969/j.issn.1008-794X.2025.04.014]
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CT引导下经皮肺穿刺活检在80岁及以上患者中的诊断准确性及安全性()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年04
页码:
414-417
栏目:
临床研究
出版日期:
2025-04-23

文章信息/Info

Title:
The diagnostic accuracy and safety of CT-guided percutaneous lung biopsy in ≥80 years patients
文章编号:
1008-794X(2025)-004-0414-04
作者:
李 昊;  袁 牧
233000 安徽蚌埠 蚌埠医科大学第一附属医院介入科
Author(s):
LI Hao; YUAN Mu.
Department of Interventional Medicine,First Affiliated Hospital of Bengbu Medical University,Bengbu,Anhui Province 233000,China
关键词:
CT引导经皮肺活检;  肺肿瘤;  老年患者;  诊断准确性;  并发症;  风险因素
分类号:
R734.2
DOI:
10.3969/j.issn.1008-794X.2025.04.014
文献标志码:
B
摘要:
目的 比较80岁及以上患者行CT引导下经皮肺穿刺活检的诊断准确性、安全性。方法 选取行CT引导下经皮肺穿刺活检术的患者400例,其中年龄≥80岁79例,年龄<80岁321例。比较两组患者行CT引导下经皮肺穿刺活检的诊断准确性和并发症发生情况。采用多因素logistic回归分析评估80岁及以上活检患者并发症发生的相关风险因素。结果 两组并发症(气胸、肺出血、咯血等)的发生率差异无统计学意义(P>0.05)。年龄≥80岁患者和年龄<80岁患者的诊断准确率分别为97.47%和97.51%,敏感度分别为97.10%和97.17%,特异度和阳性预测值均为100%,阴性预测值分别为83.33%和82.61%,差异均无统计学意义(P>0.05)。年龄≥80岁患者的病灶大小和肺内调针次数是引起肺出血的独立危险因素(OR=0.429、9.429,P<0.05)。结论 对于80岁及以上的患者,CT引导经皮肺穿刺活检是一种安全、准确的手术,其并发症发生率和诊断准确性与年龄<80岁患者差异无统计学意义。

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(收稿日期:2024-04-12)
(本文编辑:新 宇)

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备注/Memo

备注/Memo:
通信作者: 袁 牧 E-mail:yuanmu2008@163.com
更新日期/Last Update: 2025-04-25