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目的评价CT引导下老年患者肺病变活检的应用价值及安全性。方法CT引导下肺部病变穿刺活检508例,年龄≥65岁212例(A组),<65岁296例(B组),均有病理诊断,比较两组病例的诊断准确率及并发症发生情况。结果A组和B组的肺活检的准确率分别为86.32%(183/212)和83.11%(246/296)(P>0.05),并发症发生率为24.06%(51/212)和21.62%(64/296),其中,气胸发生率分别为11.32%和8.78%(P>0.05)。结论CT引导下老年肺活检的诊断准确率及并发症发生率与非老年患者相近。
Objective To evaluate the value and safety of CT guided lung biopsy in elderly patients. Methods CT-guided pulmonary biopsy in 508 cases, 212 patients aged ≥65 years (group A), <65 years old, 296 cases (group B), were pathological diagnosis, the two groups of patients compared diagnostic accuracy and complications Happening. Results The accuracy of lung biopsy in group A and group B was 86.32% (183/212) and 83.11% (246/296) respectively (P> 0.05), and the complication rates were 24.06% (51/212) and 21.62% (64/296). Among them, the incidence of pneumothorax was 11.32% and 8.78% (P> 0.05). Conclusion The diagnostic accuracy and complication rate of elderly lung biopsy under CT guidance are similar to those of non-elderly patients.