Department of Interventional Therapy, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang, P.R. China.
Ningbo Clinical research Center for Medical Imaging, Ningbo, Zhejiang, P.R. China.
Medicine (Baltimore). 2022 Nov 11;101(45):e31070. doi: 10.1097/MD.0000000000031070.
This study aims to investigate the effect of ultrasound (US)-guided coaxial puncture needle in puncture biopsy of peripheral pulmonary masses. In this retrospective analysis, 157 patients who underwent US-guided percutaneous lung biopsy in our hospital were divided into a coaxial biopsy group and a conventional biopsy group (the control group) according to the puncture tools involved, with 73 and 84 patients, respectively. The average puncture time, number of sampling, sampling satisfaction rate, puncture success rate and complication rate between the 2 groups were compared and discussed in detail. One hundred fifty-seven patients underwent puncture biopsy, and 145 patients finally obtained definitive pathological results. The overall puncture success rate was 92.4% ([145/157]; with a puncture success rate of 97.3% [71/73] from the coaxial biopsy group and a puncture success rate of 88.1% [74/84] from the conventional biopsy group (P < .05). For peripheral pulmonary masses ≤3 cm, the average puncture time in the coaxial biopsy group was shorter than that in the conventional biopsy group, and the number of sampling, sampling satisfaction rate and puncture success rate were significantly higher than those in the conventional biopsy group (P < .05). There was no significant difference in the complication rate between the 2 groups (P > .05). For peripheral pulmonary masses >3 cm, the average puncture time in the coaxial biopsy group was still shorter than that in the conventional biopsy group (P < .05). The differences between the 2 groups in the number of sampling, satisfaction rate of the sampling, the success rate of puncture and the incidence of complications were not significant (P > .05). US guided coaxial puncture biopsy could save puncture time, increase the number of sampling, and improve the satisfaction rate of sampling and the success rate of puncture (especially for small lesions) by establishing a biopsy channel on the basis of the coaxial needle sheath. It provided reliable information for the diagnosis, differential diagnosis and individualized accurate treatment of lesions as well.
本研究旨在探讨超声（US）引导同轴穿刺针在肺周围肿块穿刺活检中的应用效果。本回顾性分析纳入了我院 157 例行 US 引导经皮肺活检的患者，根据穿刺工具将其分为同轴活检组（共 73 例）和传统活检组（对照组，共 84 例）。比较并详细讨论了两组患者的平均穿刺时间、采样次数、采样满意度、穿刺成功率和并发症发生率。157 例患者均成功进行了穿刺活检，最终 145 例患者获得明确的病理结果。总体穿刺成功率为 92.4%（[145/157]），其中同轴活检组的穿刺成功率为 97.3%（71/73），传统活检组的穿刺成功率为 88.1%（74/84）（P<0.05）。对于直径≤3 cm 的肺周围肿块，同轴活检组的平均穿刺时间短于传统活检组，且采样次数、采样满意度和穿刺成功率明显高于传统活检组（P<0.05）。两组患者的并发症发生率差异无统计学意义（P>0.05）。对于直径>3 cm 的肺周围肿块，同轴活检组的平均穿刺时间仍短于传统活检组（P<0.05），但两组在采样次数、采样满意度、穿刺成功率和并发症发生率方面差异均无统计学意义（P>0.05）。US 引导同轴穿刺活检在同轴针鞘的基础上建立活检通道，可缩短穿刺时间，增加采样次数，提高采样满意度和穿刺成功率（尤其是针对小病灶），为病灶的诊断、鉴别诊断和个体化精准治疗提供可靠信息。
