穿刺路径对CT引导下心包置管引流的价值  

The clinical value of selection of the puncture path in performing CT-guided pericardial drainage

作　　者：杨茂江[1] 琼仙 徐书琴[1] 吴红霖 郭庆[1] 徐晓雪[1] 杨汉丰[1] YANG Maojiang QIONG Xian XU Shuqin WU Honglin GUO Qin XU Xiaoxue YANG Hanfeng(Department of Radiology, Affiliated Hospital of North Sichuan Medical College＇, Nanchong, Sichuan Province 637000, Chin)

机构地区：[1]川北医学院附属医院放射科,四川南充63700

出　　处：《介入放射学杂志》2017年第2期173-175,共3页Journal of Interventional Radiology

摘　　要：目的探讨CT引导下心包穿刺引流的进针选择、可行性及安全性。方法选取2013年5月至2016年3月114例心包积液患者实施研究。选择合适体位及进针路线,在CT引导下以Seldinger法穿刺置管引流心包积液。结果 114例患者均穿刺置管引流成功,未出现任何严重并发症。操作时间18~30 min。结论选择正确的穿刺路径对CT引导下穿刺引流心包积液有极大价值,对缓解临床心脏压塞症状可行性高,安全性好。Objective To discuss the optimalselection of the puncture path in performing CT-guided pericardial drainage, and to evaluate its clinical feasibility and safety. Methods A total of 114 patients with pericardial effusion, who were admitted to authors＇ hospital during the period from May 2013 to March 2016, were enrolledin this study. The appropriate body position and suitable needle-puncturing route were selected, and CT-guided pericardial drainage with Seldinger＇stechnique was performed. Results Successful puncturing and catheter drainage was obtained in all 114 patients, no any serious complication occurred. The time used for manipulation was 18-30 min. Conclusion The use of right puncture path is of great importance for the performance of CT-guided pericardial drainage for pericardial effusion, this technique is highly feasible and safe for relieving the clinical symptoms of pericardial tamponade.（J Intervent Radiol, 2017, 26： 173-175）

关 键 词：CT引导 心包积液 穿刺引流 穿刺路径 

分 类 号：R542.12[医药卫生—心血管疾病]