18G活检抽吸针在肺部疾病中的治疗价值  

The Therapeutic Value of 18 G Biopsy Needles in CT Guided Percutaneous Lung Biopsy

作　　者：孙勇[1] 杨敏[1] 高剑波[2] 杜秀琴[1] 温平贵 宋艳芳[1] 韩静[1] 蒿景龙 

机构地区：[1]河南省周口市中心医院放射科,周口466000 [2]郑州大学第一附属医院放射科

出　　处：《临床放射学杂志》2013年第7期1027-1030,共4页Journal of Clinical Radiology

基　　金：河南省卫生科技创新型人才工程专项经费资助;周口市第七批专业技术拔尖人才项目专项经费资助

摘　　要：目的探讨18 G活检抽吸针在肺部疾病中的介入治疗价值。方法在CT导向下,确定病变的穿刺点、穿刺角度和深度,在局麻下进行穿刺,根据抽出物性质或病理结果分别注入不同的药物进行治疗。结果靶向治疗性病例91例,肺囊肿硬化治疗患者12例,包裹性积液及脓胸9例,慢性炎症及肺脓肿靶向治疗32例,肺结核靶向治疗12例,肺癌疗效判定并靶向治疗26例。并发气胸6例,占6.6%(6/91),其中1例作微创性胸腔闭式引流;少量咯血3例,占3.3%(3/91),没有发现致命性并发症。结论使用18 G活检抽吸针对肺部疾病的治疗是一种安全、可靠、有效的方法,值得推广应用。Objective To evaluate the therapeutic value of 18G biopsy needles in CT guided percutaneous lung biopsy. Methods The puncturing point, angle and depth of cystic lesions were decided on CT. The puncture needle was inserted after local infiltration anesthesia, and then different drugs were injected in it according to the nature of the liquid or histo- logic finding. Results Targeted therapy of 91 cases was completed, sclerosing therapy of pulmonary cysts in 12 cases, encapsulated effusion or pyothorax in 9 cases, chronic inflammation and pulmonary abscess in 32 cases ,tuberculosis in 12 cases, the curative effect evaluation and targeted therapy of Lung cancer in 26 cases. As for complications, 6 （6.6% ：6/ 91 ）cases suffered pnemothroax, one of them was relieved by closed miniinvasive thoracic drainage. 3 （3.3% ：3/91 ） cases experienced mild hemoptysis, no fatal complications was occurred. Conclusion Using 18G biopsy needles in CT guided percutaneous lung biopsy is a safe, reliable and accurate method.

关 键 词：体层摄影术 X线计算机 针吸 囊性病灶 介入治疗 

分 类 号：R446.8[医药卫生—诊断学]