[1]张勇创,丁 霞,徐 伟,等.PET/CT功能影像辅助CT引导经皮肺穿刺活检的临床应用价值[J].介入放射学杂志,2026,(06):656-660.[doi:10.3969/j.issn.1008-794X.2026.06.014 ]
　ZHANG Yongchuang,DING Xia,XU Wei,et al.Clinical application value of PET/CT functional imaging in assisting CT-guided percutaneous lung biopsy[J].J Intervent Med,2026,(06):656-660.[doi:10.3969/j.issn.1008-794X.2026.06.014 ]
点击复制

PET/CT功能影像辅助CT引导经皮肺穿刺活检的临床应用价值()

PDF下载中关闭

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

卷:
期数:
2026年06
页码:
656-660
栏目:
临床研究
出版日期:
2026-06-17

文章信息/Info

Title:
Clinical application value of PET/CT functional imaging in assisting CT-guided percutaneous lung biopsy
文章编号:
1008-794X(2026)-006-0656-05
作者:
张勇创;  丁 霞;  徐 伟;  徐华晓;  戴锦朝;  郭 林;  李 雷
266000 山东青岛 康复大学青岛中心医院放射介入科(张勇创、徐 伟、徐华晓、戴锦朝、郭 林、李 雷); 康复大学青岛医院/青岛市市立医院肿瘤科(丁 霞)
Author(s):
ZHANG Yongchuang; DING Xia; XU Wei; XU Huaxiao; DAI Jinchao; GUO Lin; LI Lei.
Department of Interventional Radiology,Qingdao Central Hospital,University of Health and Rehabilitation Sciences,Qingdao,Shandong Province 266000,China
关键词:
肺穿刺活检;  PET/CT功能影像;  CT引导;  准确率;  并发症
分类号:
R734.2
DOI:
10.3969/j.issn.1008-794X.2026.06.014
文献标志码:
B
摘要:
目的 探讨PET/CT功能影像辅助CT引导经皮肺穿刺活检的应用价值。方法 选取康复大学青岛中心医院行PET/CT功能影像辅助CT引导下肺穿刺活检病例92例(实验组)及常规CT引导肺穿刺113例(对照组)。记录两组患者的临床资料(年龄、性别、病灶情况)、穿刺病理结果、临床最终诊断及并发症情况,进行统计学分析。结果 实验组的病理准确率为98.9%,优于对照组的89.9%,差异有统计学意义(P=0.008)。实验组患者敏感度为98.8%,高于对照组的89.5%,差异有统计学意义(P=0.009)。实验组中有16例患者发生气胸、咯血等并发症,总发生率为17.4%; 而对照组有29例出现并发症总发生率为25.7%,但2组间各项并发症的差异均无统计学意义(均P>0.05)。结论PET/CT功能影像辅助CT引导肺穿刺可以提高病理诊断准确率和敏感度,降低假阴性事件发生,安全有效,值得推广。

参考文献/References:

[1] Han B,Zheng R,Zeng H,et al.Cancer incidence and mortality in China,2022[J].J Natl Cancer Cent,2024; 4:47-53.
[2]Xia C,Dong X,Li H,et al.Cancer statistics in China and United States,2022:profiles,trends,and determinants[J].Chin Med J,2022; 135:584-590.
[3]中国抗癌协会肿瘤介入学专业委员会,中国抗癌协会肿瘤介入学专业委员会胸部肿瘤诊疗专家委员会.胸部肿瘤经皮穿刺活检中国专家共识(2020版)[J].中华医学杂志,101:185-198.
Chinese Anti-Cancer Association,Interventional Oncology Professional Committee; Chinese Anti-Cancer Association,Interventional Oncology Professional Committee,Thoracic Oncology Diagnosis and Treatment Expert Committee.Chinese Expert Consensus on Percutaneous Needle Biopsy for Thoracic Tumours[J].Chin Med J,2021,101:185-198.
[4]上海市抗癌协会实体肿瘤聚焦诊疗专委会电磁导航技术专家组.CT电磁导航系统引导下经皮穿刺诊断周围型肺癌的操作规范专家共识[J].介入放射学杂志,2022,31:221-225.
Electromagnetic Navigation Technology Expert Group; Shanghai Anti-Cancer Association Solid Tumor Focused Diagnosis and Treatment Committee.Expert consensus on the operating specifications of CT-guided electromagnetic navigation system in percutaneous puncture biopsy for the diagnosis of peripheral lung cancer[J].J Interv Radiol,2022,31:221-225.
[5]董 科,楼 岑,牟 达,等.PET/CT融合三维图像定位肺穿刺活检靶点的增益价值[J].中国医学计算机成像杂志,2020,26:64-69.
Dong K,Lou C,Mou D,et al.Gain value of three-dimensional image with PET/CT fusion in localization of lung biopsy target[J].Chin Comput Med Imag,2020,26:64-69.
[6]Sung H,Ferlay J,Siegel RL,et al.Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2021,71:209-249.
[7]Ruud EA,Stavem K,Geitung JT,et al.Predictors of pneumothorax and chest drainage after percutaneous CT-guided lung biopsy:a prospective study[J].Eur Radiol,2021,31:4243-4252.
[8]张 峥,郁晓路,李 飞,等.新型机器人辅助穿刺系统在CT引导下肺穿刺活检术的应用研究及护理配合[J].介入放射学杂志,2024,33:549-553.
Zhang Z,Yu XL,Li F,et al.A new robot-assisted puncture system used for CT-guided lung puncture biopsy:its application research and nursing cooperation[J].J Interv Radiol,2024,33:549-553.
[9]薛渭萍,刘 康,马娅琼,等.智能穿刺导航系统在CT引导下经皮肺穿刺活检中的临床应用[J].实用放射学杂志,2025,41:1207-1210.
Xue WP,Liu K,Ma YQ,et al.Clinical application of an intelligent puncture navigation system for percutaneous lung needle biopsy under CT guidance[J].J Pract Radiol,2025,41:1207-1210.
[10]司海峰,冯 峰,傅爱燕.PET/CT影像辅助CT引导下肺穿刺活检的应用[J].CT理论与应用研究,2020,29:503-510.
Si HF,Feng F,Fu AY.Application of PET/CT image assisted CT guided lung biopsy[J].Comput Tomogr Theory Appl,2020,29:503-510.
[11]杨 超,丘建燊,张 芨,等.18F-FDG PET/CT在肺内多发病灶穿刺部位选择中的临床价值[J].中国临床医学影像杂志,2017,28:30-34.
Yang C,Qiu JS,Zhang J,et al.Clinical value of 18F-FDG PET/CT in puncture site selection for multiple lung lesions[J].J China Clin Med Imag,2017,28:30-34.
[12]Bitencourt AG,Tyng CJ,Pinto PN,et al.Percutaneous biopsy based on PET/CT findings in cancer patients:technique,indications,and results[J].Clin Nucl Med,2012,37:e95-e97.
[13]潘贤慧,邢 敏,汪向海.CT引导下经皮肺穿刺活检术后常见并发症及其相关危险因素概述[J].齐齐哈尔医学院学报,2023,44:1175-1179.
Pan XH,Xing M,Wang XH.Common postoperative complications after CT-guided percutaneous lung biopsy and summarize the related risk factors[J].J Qiqihar Univ Med,2023,44:1175-1179.
(收稿日期:2025-12-17)
(本文编辑:元 禾)

备注/Memo

备注/Memo:
通信作者: 李 雷 E-mail:36952019@qq.com
更新日期/Last Update: 2026-05-25