多层螺旋CT引导BARD活检枪经皮肺穿刺活检的临床应用  

MSCT-guided percutaneous transthoracic biopsy of lung lesions by using BARD gun: Its clinical application

作　　者：许彪[1] 陈刚[1] 韦璐[1] 

机构地区：[1]广西医科大学第五附属医院放射科,柳州545001

出　　处：《介入放射学杂志》2009年第1期51-53,共3页Journal of Interventional Radiology

基　　金：广西柳州市科学研究与技术开发计划项目(2008031422)

摘　　要：目的探讨多层螺旋CT(MSCT)导向下,用BARD活检枪细针同轴多点多向经皮肺穿刺活检的临床应用价值。方法MSCT引导下用BARDMAGNUM自动活检枪,对68例患者行肺穿刺活检。结果68例患者穿刺成功率100%。以手术病理或临床随访结果为标准,定性诊断的准确率为94.1%(64例),其中鳞癌30例,腺癌21例,转移瘤7例,炎性假瘤3例,肺脓肿2例,结核1例。假阴性率为5.9%,并发症的发生率为8.8%(6例)。结论采用MSCT引导,结合BARD活检枪同轴法多点多向肺穿活检,具有定位准确、安全可靠、穿刺成功率诊断准确率高、并发症少等优点。Objective To discuss the clinical application of MSCT-guided BARD gun biopsy in diagnosing pulmonary lesions. Methods Under MSCT-guidance percutaneous transthoracic biopsy of lung with BARD gun was performed in 68 patients with pulmonary lesions. Results All the procedures were well performed with the technical successful rate of 100%. The final diagnosis was based on the pathological findings or clinical follow-up observation. The accuracy of the qualitative diagnosis was 94.1%. Of 68 patients, squamous cell carcinoma was found in 30, adenocarcinoma in 21, metastases in 7, inflammatory pseudotumor in 3, lung abscess in 2, and tuberculosis in one. The false-negative rate in making diagnosis was 5.9%. The complication occurrence was 8.8%. Conclusion BARD gun has the advantage of making coaxial- multipoint biopsy. With the help of MSCT-guidance and the full use of the operating advantage of BARD gun, this technique is safe and reliable, with higher accuracy and less complications.

关 键 词：肺 体层摄影术 X线计算机 经皮活检 

分 类 号：R814.42[医药卫生—影像医学与核医学]