【摘要】 目的:评估CT导向下数控穿刺引导仪在经皮肺穿刺活检中的临床应用价值。方法:2005-01/2007-12吉林省延边肿瘤医院采用CT导向联合数控穿刺引导仪,对60例胸部病变患者行定位穿刺活检,统计其穿刺准确性及诊断准确率,术后常规行肺CT扫描以观察有无异常或并发症。结果:60例活检病例中,一次性穿刺成功率为100%,活检诊断准确率为100%(60/60)。并发症为中轻度气胸,发生率为16.7%;痰带少量血丝发生率为18.3%;肺内出血发生率为6.7%;胸腔内积血发生率为3.3%,无出血感染等其他并发症。结论:应用CT导向和数控穿刺引导仪引导,对肺部占位病变进行穿刺活检,能够达到经皮肺穿刺中实时监控的目的。其操作时间短,方法简单,定位精确,穿刺命中率高,创伤小,具有较高的临床应用价值。更多还原

【Abstract】 OBJECTIVE: To evaluate the clinical application of the digi-controlled puncturing guider in combination with the spiral CT. METHODS: From January 2005 to December 2007, the digi-controlled puncturing guider in combination with the spiral CT was used to conduct the lung biopsy of the transthoracic needle puncture for 60 patients in Yanbian Tumor Hospital. The positive rate, successful biopsy and clinical complications were analyzed during the applications. RESULTS: All 60 patients successfully completed the operation under the guide by this equipment. The hit rate of one-time needle puncturing was 100% in 60 cases. Of the complications, pneumothorax was found in 10 cases (16.7%), blood in sputum in 11 cases (18.3%), pulmonary hemorrhage in 4 cases(6.7%), hemoptysis in 1case (1.6%), and intrathoracic hematocele in 2 cases (3.3%). No other severe complications were observed in the patients. CONCLUSION: Under the application of the digi-controlled puncturing guider in combination with the spiral CT, the puncture biopsy was successfully performed for the solitary pulmonary nodules. This method possesses accurate positioning, high success rate of puncturing, with small trauma. The new technology shows a considerable potential of application in clinical practice.更多还原