经皮胸穿活检的临床应用及并发症探讨  

Clinical Application and Complications of Percutaneous Thoracic Biopsy

作　　者：杜廷伟[1] 薛静[2] 王彤 DU Ting-wei;XUE Jing;WANG Tong(Department of Invasive Technology,The Jinghua Branch District of the First Hospital Affiliated to Henan University of Science and Technology,Luoyang 471003,Henan Province,China)

机构地区：[1]河南科技大学第一附属医院景华院区介入科,河南洛阳471003 [2]河南科技大学第一附属医院超声科,河南洛阳471003

出　　处：《罕少疾病杂志》2020年第3期11-13,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨在CT引导下应用半自动同轴活检枪对胸部占位性病变经皮穿刺活检的临床可行性及安全性。方法56例胸部占位性病变的患者,采用半自动同轴活检枪在CT引导下行经皮穿刺活检术并送病理检查,统计穿刺活检的成功率及病理检查结果;术后行CT扫描,统计穿刺活检的并发症及穿刺活检的安全性。结果半自动同轴活检枪穿刺活检的成功率为92.9%(52/56);病理检查结果:穿刺成功的52例患者中,腺癌18例、鳞癌10例、小细胞癌9例、淋巴瘤2例、胸腺瘤2例、转移癌8例、真菌感染1例、肉芽肿性炎2例;穿刺活检的并发症:合并出血和或咯血的发生率32%(18/56)、气胸发生率19.6%(11/56)、死亡率1.8%(1/56);未发生穿刺点感染、针道种植转移等其他并发症。结论半自动同轴活检枪在CT引导下对胸部占位性病变经皮穿刺活检术是一种创伤小、相对安全、确诊率高的诊断方法,可在胸部占位性疾病临床诊断中广泛推广应用。Objective To explore the clinical feasibility and safety of CT guided percutaneous biopsy of chest-occupying lesions through semi-automatic coaxial biopsy gun.Methods A total number of 56 patients with chest-occupying lesions underwent CT-guided percutaneous biopsy and were sent to pathological examination.The success rate of the biopsy and the results of pathological examination were analyzed;CT scanning was performed post-biopsy,complications of biopsy and safety of biopsy were analyzed.Results The success rate of semi-automatic coaxial needle biopsy was 92.9%(52/56).Among the 52 patients with successful puncture,pathologcial results revealed 18 adenocarcinomas,10 squamous cell carcinomas,9 small cell carcinomas,1 lymphoma,2 thymoma,8 metastatic cancer,1 fungal infection,and 2 cases of granulomatous inflammation;Complications analysis of biopsy revealved 32%(18/56)of combined hemorrhage or hemoptysis,incidence of pneumothorax is 19.6%(11/56),mortality is 1.8%(1/56);no other complications such as puncture site infection,needle planting and metastasis has been found.Conclusion CT guided percutaneous biopsy through semi-automatic coaxial biopsy gun is a minimally invasive,relatively safe procedure for diagnosing chest occupying lesions with high diagnostic yield.It can be widely used in clinical diagnosis of chestoccupying diseases..

关 键 词：半自动同轴活检枪 穿刺活检 CT引导 

分 类 号：R445.2[医药卫生—影像医学与核医学]