经皮肺穿刺与支气管镜活检对周围性肺癌的诊断价值(1)
摘要：目的 对比经皮肺穿刺与支气管镜活检对周围性肺癌的诊断价值。方法 选取2014年6月～2018年7月我院就诊的69例可疑周围肺癌患者，将其随机分为两组，其中皮肺穿刺组30例，支气管镜活检组39例。比较两组患者阳性诊断率、病理诊断符合率、敏感度、特异度及并发症发生情况。结果 支气管镜活检组患者病理阳性诊断率79.48%高于皮肺穿刺组63.33%，差异有统计学意义(P<0.05)。支气管镜活检组患者病理诊断符合率、灵敏度、特异度分别为92.31%、91.18%、100%高于皮肺穿刺的72.41%、80.95%、66.67%，差异有统计学意义(P<0.05)。支气管镜活检组患者术后穿刺部位出血5例，气胸1例，咳血3例;皮肺穿刺组术后穿刺部位出血7例，咳血4例，气胸8例，两组间相比，差异有统计学意义(P<0.05)。结论 在诊断周围性肺癌支气管镜活检比皮肺穿刺诊断效果更好、并发症发生率低，在临床应用时可优先考虑。
关键词：经皮肺穿刺;支气管镜活检;周围性肺癌;诊断效果
, 百拇医药
中图分类号：R734.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.034
文章编号：1006-1959(2019)07-0111-03
Abstract：Objective To compare the value of percutaneous lung biopsy and biopsy in the diagnosis of peripheral lung cancer.Methods 69 cases of suspected peripheral pulmonary carcinoma patients in our hospital were randomly divided into two groups， 30 cases of percutaneous lung puncture group， 39 cases of bronchoscopic biopsy group. The positive diagnosis rate， pathological diagnosis coincidence rate， sensitivity， specificity and incidence of complications were compared between the two groups. Results The positive rate of biopsy in the bronchial biopsy group was 79.48% higher than that in percutaneous lung puncture group (63.33%)，and the difference was statistically significant(P<0.05).The rate of diagnostic accuracy， sensitivity and specificity of bronchoscopic biopsy group was 92.31%，91.18%，100% higher than that of the 72.41%，80.95%，66.67% in percutaneous lung puncture group， respectively， and the difference was statistically significant(P<0.05).In bronchoscopic biopsy group， postoperative bleeding around puncture point in 5 cases， pneumothorax in 1 case，hemoptysis in 3 cases;in percutaneous lung puncture group， there were 7 cases of bleeding around puncture point， 4 cases of hemoptysis，8 cases of pneumothorax， with statistically significant differences compared between the two groups(P<0.05).Conclusion Compared with percutaneous lung biopsy，the diagnosis effect of bronchoscopy biopsy was better and the incidence of complications was lower，it will be a priority in clinical application.
, 百拇医药
Key words：Percutaneous lung biopsy;Bronchoscopic biopsy;Peripheral pulmonary carcinoma;Diagnostic effect
肺癌(lung cancer)指源于支氣管粘膜上皮的恶性肿瘤，而位于三级支气管以下呼吸性细支气管以上肿瘤为周围型肺癌[1]。肺癌发病率及致死率不断上升，在恶性肿瘤疾病中占第1位，严重威胁人类的健康和生命，因此尽早准确诊断肺癌对于提高患者的预后十分重要[2]。经皮肺穿刺与支气管镜活检是临床上诊断周围性肺癌常用的两种手段，但两种检测方法在病理阳性诊断率和诊断符合率存在一定差异[3]，本研究通过选取我院收治的疑周围性肺癌患者通过经皮肺穿刺与支气管镜活检，以对比两者在周围性肺癌疾病中的诊断价值，现报道如下。, 百拇医药(任君清 吴伟)
关键词：经皮肺穿刺;支气管镜活检;周围性肺癌;诊断效果
, 百拇医药
中图分类号：R734.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.034
文章编号：1006-1959(2019)07-0111-03
Abstract：Objective To compare the value of percutaneous lung biopsy and biopsy in the diagnosis of peripheral lung cancer.Methods 69 cases of suspected peripheral pulmonary carcinoma patients in our hospital were randomly divided into two groups， 30 cases of percutaneous lung puncture group， 39 cases of bronchoscopic biopsy group. The positive diagnosis rate， pathological diagnosis coincidence rate， sensitivity， specificity and incidence of complications were compared between the two groups. Results The positive rate of biopsy in the bronchial biopsy group was 79.48% higher than that in percutaneous lung puncture group (63.33%)，and the difference was statistically significant(P<0.05).The rate of diagnostic accuracy， sensitivity and specificity of bronchoscopic biopsy group was 92.31%，91.18%，100% higher than that of the 72.41%，80.95%，66.67% in percutaneous lung puncture group， respectively， and the difference was statistically significant(P<0.05).In bronchoscopic biopsy group， postoperative bleeding around puncture point in 5 cases， pneumothorax in 1 case，hemoptysis in 3 cases;in percutaneous lung puncture group， there were 7 cases of bleeding around puncture point， 4 cases of hemoptysis，8 cases of pneumothorax， with statistically significant differences compared between the two groups(P<0.05).Conclusion Compared with percutaneous lung biopsy，the diagnosis effect of bronchoscopy biopsy was better and the incidence of complications was lower，it will be a priority in clinical application.
, 百拇医药
Key words：Percutaneous lung biopsy;Bronchoscopic biopsy;Peripheral pulmonary carcinoma;Diagnostic effect
肺癌(lung cancer)指源于支氣管粘膜上皮的恶性肿瘤，而位于三级支气管以下呼吸性细支气管以上肿瘤为周围型肺癌[1]。肺癌发病率及致死率不断上升，在恶性肿瘤疾病中占第1位，严重威胁人类的健康和生命，因此尽早准确诊断肺癌对于提高患者的预后十分重要[2]。经皮肺穿刺与支气管镜活检是临床上诊断周围性肺癌常用的两种手段，但两种检测方法在病理阳性诊断率和诊断符合率存在一定差异[3]，本研究通过选取我院收治的疑周围性肺癌患者通过经皮肺穿刺与支气管镜活检，以对比两者在周围性肺癌疾病中的诊断价值，现报道如下。, 百拇医药(任君清 吴伟)