[1]高梦宇,周志刚,王 猛,等.CT引导下经皮肺穿刺活检诊断磨玻璃结节的单中心研究 [J].介入放射学杂志,2021,30(06):612-616.
 GAO Mengyu,ZHOU Zhigang,WANG Meng,et al.CT-guided percutaneous pulmonary biopsy for the diagnosis of ground-glass nodules: a single center study China[J].journal interventional radiology,2021,30(06):612-616.
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CT引导下经皮肺穿刺活检诊断磨玻璃结节的单中心研究


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

卷:
30
期数:
2021年06
页码:
612-616
栏目:
临床研究
出版日期:
2021-06-26

文章信息/Info

Title:
CT-guided percutaneous pulmonary biopsy for the diagnosis of ground-glass nodules: a single center study China
作者:
高梦宇 周志刚 王 猛 王阳阳 李 帅 李亚丹 杜可朴
Author(s):
GAO Mengyu ZHOU Zhigang WANG Meng WANG Yangyang LI Shuai LI Yadan DU Kepu.
Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou,Henan Province
关键词:
【关键词】 CT断层扫描 经皮肺穿刺活检 磨玻璃结节
文献标志码:
A
摘要:
【摘要】 目的 评估CT引导下经皮肺穿刺活检诊断磨玻璃结节(ground-glass nodule,GGN)的临床价值。方法 回顾性分析2013年1月至2018年1月193例明确诊断且接受CT引导下经皮肺穿刺活检的GGN患者的临床病理资料,穿刺病理结果是恶性病变判断穿刺为阳性,良性则为阴性。以外科手术后常规病理结果为标准,将穿刺病理与手术病理作对比。根据临床特点进行分组,统计分析每组穿刺活检准确率、敏感度、特异度及并发症发生率。结果 193例患者中,189例取材成功,4例因咯血而取材较少,无法明确病理,取材成功率97.9%。阳性145例;阴性44例;假阳性0例;假阴性13例(经手术证实)。总体诊断准确率93.1%(176/189)、灵敏度91.8%(145/158)、特异度100%(31/31)、假阳性率0%(0/145)、假阴性率29.5%(13/44)。并发症总发生率为44.0%(85/193),19例(22.6%)术中或术后给予治疗(18例行胸腔闭式引流、1例外科手术止血)。结论 CT引导下经皮肺穿刺活检是除手术外另一可明确诊断肺GGN病变的方法,具有较高的准确率、敏感度,可降低良性结节手术切除率。

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备注/Memo

备注/Memo:
(收稿日期:2020- 04- 15)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-06-25