目的探讨经支气管镜肺活检术及经皮穿刺肺活检术联合快速现场细胞学评价(C-ROSE)在肺部阴影诊断中的应用价值。方法回顾性分析2018年3月至2019年8月影像学提示疑难肺部阴影的患者61例,将其按照是否进行快速现场细胞学评价(C-ROSE)分为2...目的探讨经支气管镜肺活检术及经皮穿刺肺活检术联合快速现场细胞学评价(C-ROSE)在肺部阴影诊断中的应用价值。方法回顾性分析2018年3月至2019年8月影像学提示疑难肺部阴影的患者61例,将其按照是否进行快速现场细胞学评价(C-ROSE)分为2组,其中C-ROSE组32例,非C-ROSE组29例。以术后常规细胞及组织学病检结果为金标准。结果C-ROSE组确诊率为87.5%,其中CT引导下的C-ROSE确诊率达到100%(4例)。非C-ROSE组确诊率为79.3%。两组差异有统计学意义(χ^2=54.2,P<0.01)。C-ROSE组的穿刺次数少于非C-ROSE组(4.40±1.43 vs 6.03±1.54),两者差异有统计学意义(t=4.27,P<0.01)。结论在诊断肺部阴影性质时,肺活检技术联合快速现场细胞学评价(C-ROSE)的确诊率高,有效可靠;在预防并发症方面,术中C-ROSE技术可提示病变组织部位,减少了穿刺次数,值得临床推广应用。展开更多
肺黏膜相关组织边缘区B细胞淋巴瘤(extranodal marginal zone B cell lymphoma of mucosaassociated lymphoid tissue-derived,MALT)是一种肺部少见疾病,该疾病缺乏特异性的临床表现、影像学特点及没有特异的肿瘤标志物,临床上极易误诊...肺黏膜相关组织边缘区B细胞淋巴瘤(extranodal marginal zone B cell lymphoma of mucosaassociated lymphoid tissue-derived,MALT)是一种肺部少见疾病,该疾病缺乏特异性的临床表现、影像学特点及没有特异的肿瘤标志物,临床上极易误诊为肺结核、肺炎、肺癌等疾病。展开更多
与常规CT (conventional computerd tomography, CCT)相比,C臂锥形束CT (C-arm cone-beam CT, CBCT)引导下的经皮肺穿刺活检术(percutaneous transthoracic lung biopsies, PTLBs)增加了实时成像系统,具有扫描快、实时引导、三维重建、...与常规CT (conventional computerd tomography, CCT)相比,C臂锥形束CT (C-arm cone-beam CT, CBCT)引导下的经皮肺穿刺活检术(percutaneous transthoracic lung biopsies, PTLBs)增加了实时成像系统,具有扫描快、实时引导、三维重建、辐射剂量小等优点,因其高成功率、高准确率而被临床应用。CBCT应用可能引发气胸、咯血甚至空气栓塞等并发症,受患者病情、穿刺次数、病变深度和部位、患者状况及年龄等因素的影响。然而,全面比较常规CT和CBCT引导下PTLBs特征的研究较少。因此,本文通过文献综述来探究CBCT引导下PTLBs的术后常见并发症及其相关危险因素,并提出了针对性的预防管理策略,以期降低并发症风险,改善患者的临床预后。Compared to conventional CT, C-arm cone-beam CT (CBCT) guided percutaneous transthoracic lung biopsies (PTLBs) have the advantages of fast scanning, real-time guidance, three-dimensional reconstruction, and low radiation dose due to the addition of a real-time imaging system. They are clinically applied due to their high success and accuracy rates. The application of CBCT may lead to complications such as pneumothorax, hemoptysis, and even air embolism, which are influenced by factors such as patient condition, number of punctures, depth and location of the lesion, patient status, and age. However, there are few studies that comprehensively compare the characteristics of PTLBs under conventional CT and CBCT virtual navigation guidance. Therefore, this article reviews the literature to explore the common postoperative complications of CBCT-guided PTLBs and their related risk factors, and proposes targeted preventive management strategies, aiming to reduce the risk of complications and improve the clinical prognosis of patients.展开更多
文摘目的探讨经支气管镜肺活检术及经皮穿刺肺活检术联合快速现场细胞学评价(C-ROSE)在肺部阴影诊断中的应用价值。方法回顾性分析2018年3月至2019年8月影像学提示疑难肺部阴影的患者61例,将其按照是否进行快速现场细胞学评价(C-ROSE)分为2组,其中C-ROSE组32例,非C-ROSE组29例。以术后常规细胞及组织学病检结果为金标准。结果C-ROSE组确诊率为87.5%,其中CT引导下的C-ROSE确诊率达到100%(4例)。非C-ROSE组确诊率为79.3%。两组差异有统计学意义(χ^2=54.2,P<0.01)。C-ROSE组的穿刺次数少于非C-ROSE组(4.40±1.43 vs 6.03±1.54),两者差异有统计学意义(t=4.27,P<0.01)。结论在诊断肺部阴影性质时,肺活检技术联合快速现场细胞学评价(C-ROSE)的确诊率高,有效可靠;在预防并发症方面,术中C-ROSE技术可提示病变组织部位,减少了穿刺次数,值得临床推广应用。
文摘肺黏膜相关组织边缘区B细胞淋巴瘤(extranodal marginal zone B cell lymphoma of mucosaassociated lymphoid tissue-derived,MALT)是一种肺部少见疾病,该疾病缺乏特异性的临床表现、影像学特点及没有特异的肿瘤标志物,临床上极易误诊为肺结核、肺炎、肺癌等疾病。
文摘与常规CT (conventional computerd tomography, CCT)相比,C臂锥形束CT (C-arm cone-beam CT, CBCT)引导下的经皮肺穿刺活检术(percutaneous transthoracic lung biopsies, PTLBs)增加了实时成像系统,具有扫描快、实时引导、三维重建、辐射剂量小等优点,因其高成功率、高准确率而被临床应用。CBCT应用可能引发气胸、咯血甚至空气栓塞等并发症,受患者病情、穿刺次数、病变深度和部位、患者状况及年龄等因素的影响。然而,全面比较常规CT和CBCT引导下PTLBs特征的研究较少。因此,本文通过文献综述来探究CBCT引导下PTLBs的术后常见并发症及其相关危险因素,并提出了针对性的预防管理策略,以期降低并发症风险,改善患者的临床预后。Compared to conventional CT, C-arm cone-beam CT (CBCT) guided percutaneous transthoracic lung biopsies (PTLBs) have the advantages of fast scanning, real-time guidance, three-dimensional reconstruction, and low radiation dose due to the addition of a real-time imaging system. They are clinically applied due to their high success and accuracy rates. The application of CBCT may lead to complications such as pneumothorax, hemoptysis, and even air embolism, which are influenced by factors such as patient condition, number of punctures, depth and location of the lesion, patient status, and age. However, there are few studies that comprehensively compare the characteristics of PTLBs under conventional CT and CBCT virtual navigation guidance. Therefore, this article reviews the literature to explore the common postoperative complications of CBCT-guided PTLBs and their related risk factors, and proposes targeted preventive management strategies, aiming to reduce the risk of complications and improve the clinical prognosis of patients.
