摘要
目的：探讨CT引导下经皮胸部穿活检的适应症及技术要点。材料与方法：采用GELLINI公司18~21G自动弹射活检针,选择最佳层面、进针点、进针角度和深度,行多点取材。回顾性分析90例肺部病变CT引导下经肺部穿刺活检术。结果：穿刺成功率100%,活检诊断准确率为92%（83/90）。其中孤立性肺部结节或肿块的患者40例,纵隔肿块患者30例,胸壁肿物20例。结论：CT导引下的胸部穿刺活检主要应用于肺、纵隔及胸膜病变的诊断与鉴别诊断,准确率高,安全,但要掌握好适应症及操作技术,从而可以更有助于诊断的准确率提高及减少并发症的发生。
Purpose： To evaluate the main points and disease of CT - guided pereutaneous pneumocentesis in patients with lung lesions. Meterials and Methods： CELLINI 18 - 21G puncture needle was used to inserting aspiration in the optimal level, Sims, angle and depth. And had made of multidrop. Nity patients with lung lesions underwent CT - guided pereutaneous pneumocentesis and follow - up. Resuits： The successful puncture rate was 100%, accurate diagnose rate was 92% （83/90）. Conclusion： CT- guided pneumocentesis for chest Xesion is a efficient and safe diagnostic method. But it is important to mastery the disease and operating sldll to improve the diagnose rate and lessen vascular complication.
出处
《现代医用影像学》
2008年第4期173-175,共3页
Modern Medical Imageology
