CT引导下活检枪切割针肺活检的操作技术分析  

Manipulation Technique Analysis of Pulmonary Biopsy using Biopsy Guns and Incision Needle Under CT guided

作　　者：赵耀德[1] 程春霞[1] 殷际平[1] 杨栋[1] 黄英[1] 

机构地区：[1]四川泸州医学院附属第二医院CT室,646000

出　　处：《临床放射学杂志》2006年第12期1154-1156,共3页Journal of Clinical Radiology

基　　金：四川省泸州市重点科技项目〔编号:(2005)1-28〕

摘　　要：目的探讨CT引导下活检枪切割针肺活检的操作技术要领和应用价值。资料与方法应用Bard Mag-num Biopsy System活检枪及配套活检针,对72例肺部疾病患者行CT引导下肺活检。观察进针成功率、阳性诊断率、确诊率、并发症等,总结穿刺操作技术细节要领。结果一次进针成功率65%,阳性诊断率97%,确诊率89%,无须治疗的轻微并发症65%。平静呼吸下定位和穿刺、“优先4角度”定向、“三点一线”麻醉技巧、“三段进针”和“两快一慢”穿刺技巧是穿刺成功的重要操作技术要领。结论熟练掌握操作技巧,CT引导下活检枪切割针肺活检安全有效、简便易行、具有较大的临床实用价值。Objective To evaluate the value and manipulation technique of pulmonary biopsy using biopsy guns and incision needle under CT-guided. Materials and Methods 72 patients with pulmonary disease were performed CT guided pereutaneous puncture pulmonary biopsy using Bard Magnum Biopsy instrument and needle to observe the percutaneous puncture success rate, the diagnosis rate, the accuracy and complications, manipulation technique was also summarized. Results Once percutaneous puncture success rate was 65 % , the diagnosis rate was 97 %, the accuracy was 89 %, unimportant and no need to remedial complications was 65 % . Orientation and puncture with calmness breath; ＂first 4 kinds angular orientation＂; ＂3 points 1 line＂ anesthesia technique; ＂3 steps puncture＂ and ＂1 slow 2 fast＂ were important techniques that ensuring success on CT guided percutaneous puncture for pulmonary biopsy. Conclusion With experienced manipulation technique, pulmonary biopsy is safe and effective method using biopsy guns and incision needle under CT-guided, which have great clinical value.

关 键 词：肺活检 技巧 切割针 CT引导 

分 类 号：R814.42[医药卫生—影像医学与核医学]