Volume 20 Issue 8
Aug.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(8): 1291-1294
ZONG Kai-yang, LIU Ruo-yu, ZHANG Chuan-min, GUO Yun, XU Cao, LI Jian-cheng. Value analysis of CT-guided puncture biopsy for oral and maxillofacial tumours[J]. Chinese Journal of General Practice, 2022, 20(8): 1291-1294. doi: 10.16766/j.cnki.issn.1674-4152.002579
Citation: ZONG Kai-yang, LIU Ruo-yu, ZHANG Chuan-min, GUO Yun, XU Cao, LI Jian-cheng. Value analysis of CT-guided puncture biopsy for oral and maxillofacial tumours[J]. Chinese Journal of General Practice, 2022, 20(8): 1291-1294. doi: 10.16766/j.cnki.issn.1674-4152.002579
shu

Value analysis of CT-guided puncture biopsy for oral and maxillofacial tumours

doi: 10.16766/j.cnki.issn.1674-4152.002579
  • 1.

    Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2019A0374

  • Received Date: 2021-09-11
    Available Online: 2022-09-26
    Abstract
  •   Objective  To study the diagnostic value and clinical application of CT-guided needle biopsy for oral and maxillofacial tumours and discuss its advantages and disadvantages compared with conventional ultrasound-guided needle biopsy, as well as its indications and precautions in clinical application.  Methods  A total of 42 patients admitted to our hospital from January 2019 to May 2020 were selected for CT-guided puncture biopsy. The biopsies were submitted for examination, observation and analysis. The success rate of puncture, the incidence of complications and the accuracy of pathological results were determined.  Results  The success rate of localization was 100.00% in 42 patients, and the success rate of one puncture was 97.62% in 41 patients. One patient received two punctures. After puncture, 22 patients showed pain at the puncture site, and 1 patient presented with fever. Amongst the 42 patients, 21 patients were diagnosed with a malignant tumour by preoperative puncture pathology, and 23 patients were diagnosed with a malignant tumour by postoperative pathology. The preoperative pathological diagnosis results of 15 patients were benign tumours, and the postoperative pathological diagnosis results of 17 patients were conscience tumours. The preoperative pathological diagnosis of 6 patients was non-neoplastic, and the postoperative pathological diagnosis was 2 cases. The sensitivity was 90.00%, specificity was 100.00% and accuracy rate was 90.48%, demonstrating good clinical guidance and reference function.  Conclusion  Compared with ultrasound, CT has the advantages of clear images and continuous layers. CT involves the use of a contrast agent to capture enhancement films to show the changes in different densities in some soft tissue structures (muscle and blood vessels), which is more convenient to judge the scope, size and nature of lesion involvement. CT-guided puncture biopsy for oral and maxillofacial tumours has high accuracy, small injury and fast speed. Hence, it has an important reference role in clinical treatment and is worthy of clinical promotion and use.

     

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