Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (5): 98-103.doi: 10.6040/j.issn.1671-7554.0.2021.0871

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Comparison of ultrasound and enhanced CT percutaneous puncture of mixed density chest lesions

DONG Liang, CUI Wenchao, ZHOU Qing, ZHANG Longyun, ZHOU Wei, ZHANG Xin, ZHAO Chao   

  1. Department of Ultrasound Medicine, Shengli Oilfield Central Hospital, Dongying 257000, Shandong, China
  • Published:2022-06-01

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Abstract: Objective To compare the differences in puncture success rate, pathological diagnosis compliance rate, and complication rate between ultrasound-guided and enhanced CT-guided means during percutaneous puncture of mixed-density chest lesions, and to analyze the causes. Methods From February 2015 to June 2020, a total of 328 cases with CT-displayed mixed-density lesions in the chest were enrolled. CT showed uneven density inside the lesions, which were adjacent to the chest wall. The cases received ultrasound-guided puncture(the ultrasound group, n=136)or control preoperative enhanced CT-guided puncture(the enhanced CT group, n=192). The differences in the rates of successful puncture, compliant pathological diagnosis and complications between the two groups were compared. Results There was no statistical difference between puncture success rates of the ultrasound group and enhanced CT group ［94.12%(128/136)vs 93.75%(180/192), P>0.05］. Also, there was no statistical differences between complication rates of the two groups ［8.82%(12/136)vs 9.38%(18/192), P>0.05］. While, the pathological diagnosis compliance rate of the ultrasound group ［81.25%(104/128)］ was lower than that of the enhanced CT group ［97.78%(176/180)］ with the statistical difference(χ2=24.73,P<0.001). Conclusion Enhanced CT-guided percutaneous puncture of mixed-density thoracic lesions is more accurate and effective than ultrasound-guided sampling by identifying the active zone of the lesion and avoiding large vessels and non-distended lungs.

Key words: Ultrasound, Enhanced CT, Mixed density, Thoracic lesion, Percutaneous puncture

CLC Number: 

  • R445
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