摘要
目的探讨CT引导经同轴套管对肺高度可疑恶性磨玻璃结节(GGN)行微波消融同步活检的可行性。方法回顾性分析54例肺单发高度可疑恶性GGN(直径10~25 mm)患者,其中26例接受CT引导同轴微波消融同步活检(消融同步活检组),28例接受单纯CT引导穿刺活检(单纯活检组);对比2组病理诊断率及出血、气胸发生率。结果2组均顺利完成操作,技术成功率均为100%。消融同步活检组病理诊断率88.46%(23/26),气胸率26.92%(7/26);单纯活检组病理诊断率92.86%(26/28),气胸率32.14%(9/28),差异均无统计学意义(P均>0.05);但消融同步活检组出血率30.77%(8/26),低于单纯活检组[42.86%(12/28),χ^2=5.962,P=0.028]。结论CT引导经同轴套管对肺高度可疑恶性磨玻璃结节行微波消融同步活检安全、有效,出血风险低于单纯CT引导穿刺活检。
Objective To observe the feasibility of CT-guided microwave ablation and biopsy of highly suspected malignant pulmonary ground-glass nodule(GGN)with co-axle technique.Methods Totally 54 patients with highly suspected malignant pulmonary single GNN(with diameter of 10-25 mm)were retrospectively analyzed,including 26 underwent CT-guidance microwave ablation and biopsy with co-axle technique(ablation synchronous biopsy group)and 28 underwent simple puncture biopsy(biopsy group).The rates of pathological diagnosis,hemorrhage and pneumothorax were compared between 2 groups.Results All patients underwent successful operation,the success rate was both 100%in 2 groups.The rate of pathological diagnosis was 88.46%(23/26),of pneumothorax was 26.92%(7/26)in ablation synchronous biopsy group,while in biopsy group was 92.86%(26/28)and 32.14%(9/28),respectively(both P>0.05).The rate of hemorrhage in ablation synchronous biopsy group was 30.77%(8/26),lower than that of biopsy group(42.86%[12/28],χ^2=5.962,P=0.028).Conclusion CT-guided microwave ablation and biopsy of highly suspected malignant pulmonary GGN with co-axle technique is safe and effective with lower bleeding risk compared with biopsy alone.
作者
高飞
韩旭建
窦卫涛
李振家
GAO Fei;HAN Xujian;DOU Weitao;LI Zhenjia(Center of Imaging Intervention, Jinan 6th People's Hospital, Jinan Zhangqiu District People's Hospital, Jinan 250200, China;Center of CT Intervention, Shandong Medical Imaging Research Institute, Jinan 250021, China)
出处
《中国介入影像与治疗学》
北大核心
2020年第8期464-467,共4页
Chinese Journal of Interventional Imaging and Therapy
