CT精确引导三维立体全身穿刺定位装置的临床应用研究  

The Clinical Application of Puncture Locating Device of Three-dimensional Concept of Whole Body Guided by CT

作　　者：李杰[1] 李宇[1] 王先国[1] 

机构地区：[1]山东省泰安市肿瘤防治院,山东泰安271000

出　　处：《中国医学创新》2014年第25期4-7,共4页Medical Innovation of China

基　　金：山东省泰安市科技发展计划课题(201340629)

摘　　要：目的:探讨CT精确引导三维立体全身穿刺定位装置在临床肿瘤穿刺操作中的应用。方法:将CT诊断为占位病变并需要CT引导下进行穿刺明确诊断或者局部治疗的患者100例按随机数字表法分为观察组和对照组,每组各50例,观察组采用CT精确引导三维立体全身穿刺定位装置引导穿刺,对照组采用传统的CT引导下徒手穿刺。结果:观察组一次性穿刺成功率为94%,对照组为52%;观察组出血发生率2%,对照组14%;观察组未发生感染,对照组感染率12%;观察组气胸发生率4%,对照组气胸发生率32%;两组比较,差异均有统计学意义(P<0.05)。结论:CT精确引导三维立体全身穿刺定位装置设计先进,操作简单,三维立体适应范围广,全身应用,一次穿刺成功率高,从而降低了并发症发生率,适合基层医院使用,值得推广。Objective： To evaluate the clinical application of puncture positioning frame guided by three-dimensional CT in tumor puncture.Method： 100 patients with placeholder disease diagnosed by CT, who need to make a definite diagnosis by puncture guided by CT or local treatment, randomly divided into two groups. The observation group used puncture positioning frame guided by three-dimensional CT, the control group chose traditional puncture method guided by CT.Result： The success rate of puncture by one-time of the observation group was 94%, and that of the control group was 52%. The incidence of bleeding of the observation group was 2%, and that of the control group was 14%. The infection rates of the control group was 12%, and there was no infection in the observation group. The incidence of pneumothorax was 4% in the observation group, but the control group was 32%. The difference was statistically significance between the two groups.Conclusion： The puncture positioning frame designs is of novel, high precision, high success rate and shorter puncture time. It has low complication and is worth promoting in clinical.

关 键 词：三维立体 全身 CT引导 穿刺引导装置 临床研究 

分 类 号：R816[医药卫生—放射医学]