手机水平仪联合激光引导装置在CT引导下经皮肺穿刺的应用OA
Application of smartphone inclinometer with laser guidance in CT-guided percutaneous lung biopsy
目的 探讨手机水平仪联合激光引导装置在CT引导下经皮肺穿刺中的应用价值.方法 采用历史对照研究方法,选取2023年10月至2025年7月安徽医科大学第四附属医院收治需进行CT引导下经皮肺穿刺患者共60例(男45例,女15例),年龄(72.90±8.82)岁,CT引导下肺穿刺患者的30例患者作为对照组,应用手机水平仪辅助的3 0例患者作为观察组.比较两组患者的同轴针进针次数、气胸发生率、出血程度、穿刺时间及穿刺角度等指标.结果 观察组同轴针进针次数显著少于对照组[1.00(1.00,2.00)次 vs.2.00(2.00,3.00)次,P<0.001],气胸发生率更低(13.3%vs.36.6%,P=0.037),穿刺时间更短[(24.90±4.68)min vs.(29.93±10.11)min,P=0.02],穿刺角度更大[19.50(7.75,41.00)°vs.7.00(1.75,25.25)°,P=0.04],两组出血程度差异无统计学意义(P=0.481).结论 手机水平仪联合激光引导装置可有效减少CT引导下经皮肺穿刺的同轴针进针次数,降低气胸发生率,缩短穿刺时间,且穿刺角度更大.
Objective To evaluate the application value of smartphone level meter combined with laser guidance device in CT-guided percutaneous lung puncture.Methods A historical control study was conducted,and enrolling 60 patients who underwent CT-guided lung puncture at the Fourth Affiliated Hospital of Anhui Medi-cal University from October 2023 to July 2025.A total of 60 patients(45 males,15 females)with a mean age of(72.90±8.82)years were included.30 patients who underwent CT-guided lung puncture,and 30 patients who re-ceived smartphone level meter-assisted procedures as the experimental group.The following parameters were com-pared between the two groups:coaxial needle insertion attempts,pneumothorax incidence,bleeding severity,puncture duration,and achievable puncture angle.Results The experimental group demonstrated significantly fewer coaxial needle insertion attempts[1.00(1.00,2.00)vs.2.00(2.00,3.00),P<0.001],lower pneumotho-rax incidence(13.3%vs.36.6%,P=0.037),shorter puncture duration[(24.90±4.68)min vs.(29.93±10.11)min,P=0.02],and larger achievable puncture angles[19.50°(7.75°,41.00°)vs.7.00°(1.75°,25.25°),P=0.04]compared to the control group.No statistically significant difference was observed in bleeding severity(P=0.481).Conclusions The combination of a smartphone level meter and laser guidance device effectively reduces the number of coaxial needle insertion attempts,lowers the incidence of pneumothorax,shortens the procedure du-ration,and enables a wider achievable puncture angle in CT-guided percutaneous lung puncture.This technique shows promising clinical application value for improving the safety and efficiency of the procedure.
张杰;孟凡亮
霍邱县人民医院呼吸与危重症医学科(安徽六安 237400)安徽医科大学第四附属医院呼吸与危重症医学科(安徽巢湖 238000)
医药卫生
经皮肺穿刺手机水平仪激光引导同轴针进针次数气胸
percutaneous lung puncturesmartphone level meterlaser guidancecoaxial needle insertion attemptspneumothorax
《实用医学杂志》 2026 (7)
1171-1176,6
吴阶平医学基金会科研专项资助项目(编号:320.6750.2025-1-15)
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