CT导向下经皮肺活检的穿剌方法的改进和临床应用(附60例分析)  

Clinical application of CT guided percutaneous for lung with 60 cases analysis

作　　者：汤晓明[1] 周丹[1] 姚中逸[1] 

机构地区：[1]江苏省扬州市第一人民医院 CT 室,225001

出　　处：《介入放射学杂志》1998年第1期3-5,共3页Journal of Interventional Radiology

摘　　要：目的:评价 CT 导向下经皮肺活检的穿刺方法,以提高临床诊断率,减少并发症。材料和方法:回顾分析60例资料完整的病例,提出了保留麻醉针头导向法,用不同的活检穿刺针进行了细胞学和组织学取材。结果:一次穿刺成功率100%,检出肺癌39例,肺结核8例,肺炎性病变7例,穿刺活检正确率90%。结论:保留麻醉针头导向法减少穿刺方向调整次数,提高了一次穿刺成功率,具有定位准、安全、可靠、诊断准确等优点。Purpose:By ascessing the CT guided percutaneaus biopsy to improve clinical diag- nostic rate and reduce complications.Materials and methods:60 cases of biopsy with complete materials have been reviewed,and the methods of“retain anesthetic tracing needle”has been proposed-to obtain tissues for cytologic and histologic exams with different biopsy needles.Results:Successful rate of the puncfure 100%.39 cases were identified as lung cancer,8 cases as tuberculosis,7 cases as pneumonia. Successful biopsy was 90%.Conclusion:“Retain anesthetic tracing needle”could reduce the times of adjusting direction,improve the one-time successful rate and possess the characteristics of positioning safe,reliable and accurate diagnosis.

关 键 词：活组织检查 针吸 体层摄影术 X线计算机 

分 类 号：R446.8[医药卫生—诊断学]