原创《CT和B超引导下经皮肺穿刺对周围型肺部肿块的诊断价值分析》：此文是一篇价值分析论文范文,为你的毕业论文写作提供有价值的参考。
DOI：10.16662/j.cnki.1674-0742.2017.25.180
[摘 要] 目的 分析CT与B超引导下经皮肺穿刺对周围型肺部肿块的诊断价值.方法 方便选取在2016年2月—2017年4月该院治疗的周围型肺部肿块患者100例,按随机数表法分为观察组（50例）和对照组（50例）,对照组在B超引导下进行经皮肺穿刺活检,观察组在CT引导下实施经皮肺穿刺活检,比较两组定位成功率、穿刺活检成功率、病理检查结果及术后并发症情况.结果 观察组病理检查诊断明确率、并发症发生率（94.00%、22.00%）与对照组（96.00%、12.00%）对比,差异无统计学意义（P>0.05）； 观察组定位成功率及一次活检成功率（98.00%、94.00%）明显高于对照组（44.00%、44.00%）,差异有统计学意义（P<0.05）.结论 CT和B超引导下经皮肺穿刺活检均为安全、有效的临床诊断方法,其中CT引导下经皮肺穿刺可提高诊断周围型肺部肿块的一次性定位成功率.
[关键词] CT；B超；经皮肺穿刺；周围型肺部肿块；诊断价值
[中图分类号] R814 [文献标识码] A [文章编号] 1674-0742（2017）09（a）-0180-03
Diagnostic Value of CT and B Ultrasound-guided Percutaneous Lung Puncture in Peripheral Lung Mass
CHEN Jian-ying1, WANG Zhi-yong1, CHEN Chen-teng1, CHEN Hui2
1.Department of Respiratory Medicine, Putian First Hospital in Fujian Province, Putian, Fujian Province, 351100 China； 2.Department of Ultrasonography, Putian First Hospital in Fujian Province, Putian, Fujian Province, 351100 China
[Abstract] Objective This paper tries to analyze the diagnostic value of CT and B ultrasound-guided percutaneous lung puncture in peripheral lung mass. Methods 100 patients with peripheral lung mass treated in this hospital from February 2016 to April 2017 were convenient selected and divided into the observation group and the control group by random number table, with 50 cases in each group. The control group was given B ultrasound-guided percutaneous lung puncture biopsy, while the observation group was given CT-guided percutaneous lung puncture biopsy. The success rate of localization, success rate of needle biopsy, pathological results, postoperative complications were compared between the two groups. Results The accuracy rate of pathological results and incidence of complications in the observation group were 94.00% vs 22.00% and those in the control group were 96.00% vs 12.00%, there was no statistical difference （P>0.05）； The success rate of localization and once needle biopsy in observation group were 98.00% and 94.00%, higher than those in control group of 44.00% and 44.00%（P<0.05）. Conclusion CT and B ultrasound-guided percutaneous lung puncture biopsy are safe and effective diagnostic methods, and CT-guided percutaneous lung puncture can increase the success rate of once localization in diagnosis of peripheral lung mass.
[Key words] CT； B ultrasound； Percutaneous lung puncture； Peripheral lung mass； Diagnostic value
肺癌、轉移性恶性肿瘤、结核、真菌感染、非特异性炎症、尘肺等是肺部周围型肿块的常见类型,其中肺癌作为一种常见的恶性肿瘤,按照肺癌的发生部位可分为型和周围型,型以鳞癌及小细胞癌多见,周围型以腺癌多见,故早期诊断和治疗对改善肺癌患者预后显得至关重要[1].影像学检查对肺部周围型肿块的诊断有一定的参考价值,但仍存在不同的病理学改变,有相同影像学表现,使诊断的困难程度增加,而病理学诊断病变组织,将促进诊断的准确性提高[2-3].作为一种微创的活检方式,CT或B超引导下经皮肺穿刺活检可有效提高检测的安全性及敏感性,解决传统活检方式存在的问题[4].该研究为进一步分析CT与B超引导下经皮肺穿刺对周围型肺部肿块的诊断价值,对2016年2月—2017年4月该院100例周围型肺部肿块患者展开研究,现报道如下.
价值分析论文参考资料：
结论：CT和B超引导下经皮肺穿刺对周围型肺部肿块的诊断价值分析为关于对不知道怎么写价值分析论文范文课题研究的大学硕士、相关本科毕业论文价值分析论文开题报告范文和文献综述及职称论文的作为参考文献资料下载。
