CT定位穿刺引导器临床应用的效果  

Clinical efficacy of a locator for puncture under CT examination

作　　者：黄冰[1] 过建国[2] 严敏[1] 姚明[2] 曹浩强[3] 周煦燕[2] 侯健[2] 陆雅萍[2] 孙建良[2] 

机构地区：[1]浙江大学医学院附属第二医院麻醉与疼痛诊疗科,杭州市310006 [2]浙江省嘉兴市第一医院疼痛医学科 [3]浙江省嘉兴市第一医院胸外科

出　　处：《中华麻醉学杂志》2012年第9期1094-1095,共2页Chinese Journal of Anesthesiology

基　　金：浙江省嘉兴市科技局科技计划项目（2010AY1028）;浙江省嘉兴市科技局科技计划项目（2012AY1070-6）;浙江省科技厅项目（2012C33SA400032）;浙江省中医药（中西医结合）重点学科建设计划资助（2012-XK-A31）

摘　　要：评价CT定位穿刺引导器临床应用的效果。拟在CT引导下行双侧胸交感神经阻滞术或腰交感神经阻滞术的患者33例，性别不限，年龄16～76岁，体重46—80k。采用抛硬币法，随机选取其一侧采用CT定位穿刺引导器引导穿刺（引导法），另一侧采用CT引导常规穿刺（常规法）。记录穿刺时间、穿刺次数、穿刺时针干与设定穿刺角度的偏差及穿刺相关并发症的发生情况。与常规法比较，引导法穿刺时间缩短，穿刺次数和穿刺时针干与设定穿刺角度的偏差降低（P〈0．01）。所有患者成功完成穿刺，无血胸和气胸等并发症发生。We designed a locator for puncture under CT examination. Thirty-three patients of both sexes aged 16-76 yr weighing 46-80 kg undergoing bilateral thoracic or lumber sympathetic nerve block under CT exami- nation were enrolled in this study. One side was punctured under the guidance of the locator, while the other side was punctured by conventional technique. The time consumed during puncture, CT scan adjusting time, the devia- tion of the needle from the targets and the incidence of puncture complications were recorded. The results showed that compared with the conventional technique, with the locator the time consumed during puncture was significant- ly shorter, the number of attempts and the deviation of the needle from the target were significantly reduced. The procedure was successfully performed on both side in all patients without serious complications such as hemothorax and pneumothorax.

关 键 词：体层摄影术 X线计算机 穿刺术 

分 类 号：R614[医药卫生—麻醉学]