CT 引导下细针辅助定位穿刺肺及肝内困难病灶  

CT-guided fine-needle assisted localization for puncturing difficult lung or liver lesions

作　　者：张建[1] 谭中宝[1] 狄镇海[1] 毛学群[1] 邹容[1] 王庆庆[1] 韩壮 ZHANG Jian;TAN Zhongbao;DI Zhenhai;MAO Xuequn;ZOU Rong;WANG Qingqing;HAN Zhuang(Department of Interventional Radiology,the Affiliated Hospital of Jiangsu University,Zhenjiang 212000,China)

机构地区：[1]江苏大学附属医院介入放射科,江苏镇江212000

出　　处：《中国介入影像与治疗学》2024年第8期482-485,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察CT引导下细针辅助定位穿刺肺及肝内困难病灶的可行性及安全性。方法回顾性纳入30例接受CT引导下22G穿刺针辅助定位穿刺的肺及肝内单发穿刺位置困难病灶或位置深在的直径0.5~2.0 cm病灶,记录辅助定位成功率、首次穿刺成功率及相关并发症等。结果30个困难病灶包括27个肺内病灶、3个肝内病灶,平均直径(1.0±0.4)cm,均于CT引导下以22G穿刺针于靶病灶边缘、病灶旁1 cm或穿刺路径中辅助定位成功,定位成功率100%,未见明显并发症。后续操作包括对14个肺结节行术前穿刺定位、对10个肺结节和3个肝内病灶行穿刺活检及对3个肺结节实施微波消融,首次穿刺成功率100%。穿刺活检后3例(3/27,11.11%)肺内困难病灶患者出现少量气胸;未见其他明显并发症。结论CT引导下以细针辅助定位经皮穿刺肺及肝内困难病灶可行且安全。Objective To observe the feasibility and safety of CT-guided fine-needle assisted localization for puncturing difficult lung or liver lesions.Methods Data of 30 patients with single difficult lung or liver lesion,i.e.lesion located at difficult part for puncturing or deep lesion with diameter of 0.5—2.0 cm who underwent CT-guided 22G needle assisted localization before puncturing were retrospectively analyzed.The success rate of fine-needle assisted localization,the success rate of the first-time puncturing and the occurrence of complications were recorded.Results Among 30 difficult lesions,there were 27 lung lesions and 3 hepatic lesions,with a mean diameter of(1.0±0.4)cm.Assisted localization of difficult lesions were successfully performed with 22G needle under CT guidance at the edge of lesion,1 cm adjacent to lesion or at the puncture path,with success rate of fine-needle assisted localization of 100%,and no obvious complication happened.The followed operations included preoperative localization of 14 lung nodules,biopsy of 10 lung nodules and 3 liver nodules,as well as microwave ablation of 3 liver nodules,with the success rate of the first-time puncturing of 100%.Mild pneumothorax was observed in 3 cases(3/27,11.11%)of difficult lung lesions after biopy.No other obvious complication occurred.Conclusion CT-guided fine-needle assisted localization for percutaneous puncturing difficult lung or liver lesions was feasible and safe.

关 键 词：肺疾病 肝疾病 穿刺术 放射摄影术 介入性 

分 类 号：R615[医药卫生—外科学] R815[医药卫生—临床医学]