| 涂永辉,王巍颋,李璠婷,熊景良.CT多平面重组技术在肺结节穿刺路径选择中的应用[J].实用中西医结合临床,2022,22(13): |
| CT多平面重组技术在肺结节穿刺路径选择中的应用 |
| Application of multi-planar reformation(MPR) of multi-slice spiral CT in the selection of puncture routes for pulmonary nodules |
| 投稿时间：2022-08-10 修订日期：2022-08-25 |
| DOI： |
| 中文关键词: 肺结节,多平面重组,CT引导穿刺 |
| 英文关键词: Pulmonary nodules, multi-planar reformation, CT-guided puncture |
| 基金项目:江西省卫生健康委科技计划项目(编号：202130955) |
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| 中文摘要: |
| 目的 评价CT多平面重组技术(MPR)优选的穿刺路径对肺结节在CT引导下经皮肺穿刺效果的影响。方法 回顾性分析我院2020年1月至2022年8月间52例CT引导下经皮肺穿刺手术的患者资料。其中普通经皮肺穿刺组24例(A组),MPR经皮肺穿刺组28例(B组)。对两组病灶穿刺调整次数、穿刺针与水平面夹角、穿刺用时、并发症发生率及一次穿刺成功率的差异进行统计学分析。 结果 两组穿刺调整次数、穿刺时间差异均有统计学意义(P＜0.05),B组平均减少0.4次,缩短5min。B组的一次穿刺成功率及术后并发症发生率与A组相当(P＞0.05),两组均没有出现极严重并发症。B组穿刺路径与水平面夹角较A组更小(P＜0.05)。 结论 多层螺旋CT多平面重组技术优选的穿刺路径可以减少穿刺过程的调整次数,缩短操作时间,对肺结节CT引导穿刺路径的选择有一定指导价值。 |
| 英文摘要: |
| Objective To evaluate the clinical application value of multi-planar reformation(MPR) in CT-guided puncture path selection for pulmonary nodules. Methods The clinical data of 52 patients who underwent CT-guided percutaneous lung puncture in our hospital between January 2020 and August 2022 were retrospectively reviewed.There were 24 cases in the general percutaneous lung puncture group (Group A) and 28 cases in the MPR percutaneous lung puncture group (Group B).The differences in the number of lesion punctures, the angle formed by the puncture needle and the horizontal plane, the puncture time, the complication rate, the primary puncture success rate between the two groups were statistically analyzed. Results The differences in the number of puncture adjustments and puncture time between the two groups were statistically significant(P<0.05), and the average reduction in group B was 0.4 times, with an average reduction of 5 minutes.The primary puncture success rate and the postoperative complication rates in group B were comparable to those in group A(P>0.05), with no very significant complications.The smaller puncture-to-horizontal angle in group B compared with group A was statistically significant(P<0.05). Conclusion Multi-planar reformation technique of multi-slice spiral CT scan can effectively show the puncture location path, reduce the adjustment times during puncture, shorten the operation time, and has a guiding value for the selection of CT guided puncture path of pulmonary nodules. |
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