ct引导下非同轴技术肺病变细针穿刺活检诊断的准确性和安全性:442例活检的单中心经验

IF 2.1 4区医学 Q2 Medicine

Diagnostic and Interventional Radiology Pub Date : 2017-03-01 DOI:10.5152/dir.2016.16173

Ç. Uzun, Z. Akkaya, Ebru Düşünceli Atman, E. Üstüner, E. Peker, B. Gülpınar, A. Elhan, K. Ceyhan, K. Ç. Atasoy

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引用次数: 19

摘要

目的评价计算机断层扫描(CT)引导下非同轴技术细针穿刺肺病变活检诊断的准确性和安全性。方法:我们分析了442例接受ct引导下FNA和非同轴技术肺活检的患者，以确定诊断结果、并发症发生率和诊断失败和气胸的独立危险因素。结果诊断正确率为97.6%，敏感性为97.3%，特异性为100%。年龄和bbb35 mm病变大小是诊断失败的重要危险因素。气胸和置管率分别为19%和2.9%。中下肺叶位置、病灶距胸膜距离>7.5 mm、>45°针径角是气胸发生的重要危险因素。结论ct引导下非同轴FNA对肺部病变进行诊断是一种安全可靠的方法，气胸发生率相对较低，诊断准确率较高。

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Diagnostic accuracy and safety of CT-guided fine needle aspiration biopsy of pulmonary lesions with non-coaxial technique: a single center experience with 442 biopsies.

PURPOSE We aimed to evaluate the diagnostic accuracy and safety of computed tomography (CT)-guided biopsy of pulmonary lesions with fine needle aspiration (FNA) using non-coaxial technique. METHODS We analyzed 442 patients who underwent CT-guided lung biopsy with FNA and non-coaxial technique to determine the diagnostic outcomes, complication rates, and independent risk factors for diagnostic failure and pneumothorax. RESULTS Diagnostic accuracy, sensitivity, and specificity were 97.6%, 97.3%, and 100%, respectively. Age and >35 mm lesion size were significant risk factors for diagnostic failure. The rates of pneumothorax and chest tube placement were 19% and 2.9%, respectively. Middle and lower lobe location, lesion to pleura distance >7.5 mm, and >45° needle trajectory angle were significant risk factors for pneumothorax. CONCLUSION CT-guided FNA of pulmonary lesions with non-coaxial technique is a safe and reliable method with a relatively low pneumothorax rate and an acceptably high diagnostic accuracy.

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来源期刊

Diagnostic and Interventional Radiology 医学-核医学

CiteScore

3.50

自引率

4.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English. The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.