CT引导下肺内病变穿刺活检技术的探讨  

CT-guided percutaneous biopsy in lung lesions

作　　者：郑卫权[1] 李露嘉[1] 刘莉娜[1] 谢立旗[1] 

机构地区：[1]解放军第401医院,山东青岛266071

出　　处：《中国临床医学影像杂志》2006年第S1期19-21,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨在CT导向肺内病变穿刺技术中CT准确定位、正确取材方法对诊断准确率的影响。方法:搜集CT导向肺内病变穿刺活检的CT资料71例,按术者操作方法不同分成3组:平静浅短呼吸组,直接屏气组和深吸气后屏气组,进行回顾性分析。结果:①平静浅短呼吸组:36例,诊断准确率94.4%(34C36),气胸发生率8.3%(3C36),穿刺取材次数为1次;②直接屏气组:31例,诊断准确率为83.9%(26C31),气胸发生率为5%(6C31),穿刺活检次数为2～3次;③深吸气后屏气组:4例,诊断准确率为50%(2C4),气胸发生率为75%(3C4),穿刺活检次数为2～4次;④并发症:主要为气胸,发生率16.9%(12C71),未出现咯血、空气栓塞等并发症。结论:CT准确定位、取材方法正确对提高CT导向肺内病变穿刺活检技术的诊断准确率,减少并发症的发生有重要的临床意义。Objective: To determine the accurate location and the appropriate way of obtaining samples in influencing the diagnostic accuracy of CT-guided lung biopsy.Materials and Methods: The imaging data of 71 cases who had been performed CT-guided lung biopsy were studied and analyzed retrospectively.These 71 cases were studied in three different ways,including breathing normally,holding breath directly and holding breath after breathing in deeply.Results: ①There were 36 cases were studied in group of breathing nor...

关 键 词：肺疾病 体层摄影术 X线计算机 活组织检查 针吸 

分 类 号：R814.42[医药卫生—影像医学与核医学]