CT电磁导航系统引导下经皮穿刺诊断周围型肺癌的操作规范专家共识(2021版)  

Expert consensus on the operating specifications of CT-guided electromagnetic navigation system in percutaneous puncture biopsy for the diagnosis of peripheral lung cancer(2021 edition)

作　　者：上海市抗癌协会实体肿瘤聚焦诊疗专委会电磁导航技术专家组 钟华 李文涛[3] 滕家俊 Navigation Technology Expert Group,Shanghai Anti-Cancer Association Solid Tumor Focused Diagnosis and Treatment Committee;ZHONG Hua;LI Wentao

机构地区：[1]不详 [2]上海交通大学附属胸科医院 [3]复旦大学附属肿瘤医院

出　　处：《介入放射学杂志》2022年第3期221-225,共5页Journal of Interventional Radiology

基　　金：国家重点研发计划项目(2017YFC0112700、2017YFC0112703);上海市市级医院新兴前沿技术联合攻关项目(SHDC12019127)。

摘　　要：电子计算机断层扫描(CT)引导下经皮诊断周围型肺癌技术目前已成熟应用于临床实践中,但该技术存在一定的不足之处,如无法在操作过程中完成实时监测、反复扫描可能会对患者造成辐射损伤等。近年来,CT电磁导航系统辅助下经皮诊疗技术已广泛应用于对周围型肺癌的诊断,显著提高了诊疗的质量与水平,降低了并发症的发生,其在经皮诊断周围型肺癌中的有效性及安全性得到了初步验证,尤其适用于初学者使用,练习肺穿刺技术。为了进一步优化国产电磁导航系统技术的操作规范,指导其在临床中的应用,上海市抗癌协会实体肿瘤聚焦诊疗专委会电磁导航技术专家组召开电磁导航系统规范化操作专家研讨会,从技术适应证、禁忌证、操作流程及并发症处理等方面展开认真讨论,并最终形成本共识。The technique of CT-guided percutaneous puncture biopsy has been successfully and reliably applied in the clinical practice for the diagnosis of peripheral lung cancer,unfortunately,this technique has some shortcomings,e.g.it can not complete real-time monitoring during operation,repeated scans may cause radiation damage to patients,and so on.In recent years,the CT-guided electromagnetic navigation system-assisted percutaneous diagnosis and treatment technology has been widely employed in diagnosing peripheral lung cancer,which significantly improves the quality and level of both the diagnosis and the treatment for lung cancer,and reduces the occurrence of complications as well.The clinical effectiveness and safety of this technique in the percutaneous diagnosis of peripheral lung cancer have been initially verified.This technique is especially suitable for beginners to adopt as it can help beginners practice lung puncture manipulation.In order to further optimize the operation specifications of domestic electromagnetic navigation system technology and to guide physicians to apply this technology in clinical work,the Electromagnetic Navigation Technology Expert Group of Shanghai Anti-Cancer Association Solid Tumor Focused Diagnosis and Treatment Committee has organized an expert seminar on the standardized operation of electromagnetic navigation system to conduct a serious discussion on this technique,focusing on its indications,contraindications,operating procedures,treatment of complications,etc.Finally,this consensus has been successfully composed.(J Intervent Radiol,2022,31:221-225)

关 键 词：电磁导航系统 经皮肺穿刺术 肺恶性肿瘤 

分 类 号：R816.4[医药卫生—放射医学]