真空垫在CT引导下肺部穿刺活检中的应用  

Vacuum bag fixation in CT guided percutaneous lung biopsy

作　　者：姚国荣[1] 陆中杰[1] 周进淇[1] 

机构地区：[1]浙江大学医学院附属第一医院放疗中心,浙江杭州310009

出　　处：《中国介入影像与治疗学》2012年第8期579-581,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨真空垫固定在CT引导下肺部穿刺活检中的应用价值。方法从1256例接受CT引导下肺部穿刺活检的患者中随机选取120例,分为2组:A组60例接受激光定位配合真空垫固定下的肺部穿刺活检,B组60例接受常规CT引导下穿刺活检,比较两组的首次穿刺成功率。结果 A组穿刺成功率100%(60/60),其中首次穿刺成功率为86.67%(52/60),并发症发生率11.67%(7/60);B组58例患者纳入研究,穿刺成功率为96.55%(56/58),其中首次穿刺成功率为70.69%(41/58),并发症发生率17.24%(10/58)。A组首次穿刺成功率高于B组(χ2=4.508,P<0.05)。结论使用真空垫固定行CT引导下肺部穿刺活检操作简便,安全可靠,值得推广。Objective To explore the clinical value of vacuum bag fixation for CT -guided lung biopsy. Methods Totally 120 patients were selected from 1256 patients who underwent lung biopsy under CT guidance, and the patients were divided into two groups： Group A including 60 patients who received vacuum bag fixation, group B including 60 patients who re- ceived biopsy with routine fixation. Successful rate of the first puncture was compared between two groups. Results Suc- cessful rate of puncture in group A was 100% （60/60）, and the successful rate of the first puncture was 86.67% （52/60）, and the occurrence rate of complication was 11.67% （7/60）. Fifty＇eight patients were enrolled in group B, the successful rate of puncture was 96.55% （56/58）, the successful rate of the first puncture was 70.69% （41/58）, and the occurrence rate of complications was 17.24%（10/58）. Statistical difference of the successful rate of the first puncture in group A was higher than that in group B （X^2 =4. 508, P〈0.05）. Conclusion Under CT guidance, vacuum bag fixation for lung biopsy is convenient, safe, reliable, and worthy generalizing.

关 键 词：肺 活组织检查 体层摄影术 X线计算机 激光引导 

分 类 号：R814.42[医药卫生—影像医学与核医学]