CT引导下气管前腔静脉后间隙病变穿刺活检术的临床应用

发布时间：2018-03-23 10:53

本文选题：穿刺活检　切入点：计算机断层成像　出处：《介入放射学杂志》2015年11期

【摘要】：目的探讨CT引导下气管前腔静脉后间隙结节穿刺活检术的临床可行性和应用。方法回顾性总结2008年1月至2014年7月于南方医科大学珠江医院46例行CT引导下气管前腔静脉后间隙病变穿刺活检术资料,穿刺结束后立即行CT平扫及临床短期随访,了解并发症情况,评估穿刺安全性;行穿刺术所取得标本,均行细胞病理学及组织学检查,以手术标本病理结果或治疗效果作为标准,评估活检术准确性及其临床应用价值。结果本组患者并发症发生率15.6%(1例液气胸,6例少量气胸(肺压缩10%以下),余均未出现明显并发症;46例患者中2例取得的组织较为细碎,未获得确切病理结果,1例穿刺组织病理结果与术后病理结果不相符;43例(93.5%)患者获得病理学诊断。结论 CT引导下气管前腔静脉后间隙病变穿刺活检术,在操作者熟悉气管前腔静脉后解剖的基础上,术前认真阅读患者影像资料,根据实际情况制定合适的穿刺路径,能够安全、准确地取得组织病理结果。这一技术对指导临床医师进一步制定诊疗计划极有帮助。
[Abstract]:Objective to investigate the clinical feasibility and application of CT guided puncture biopsy of tracheal anterior vena cava posterior space nodule. Methods from January 2008 to July 2014, 46 cases of trachea guided by CT in Zhujiang Hospital, Southern Medical University, were retrospectively summarized. Data of puncture biopsy of anterior vena cava posterior space lesion, Immediately after puncture, CT scanning and clinical short follow-up were performed to understand the complications and evaluate the safety of puncture. All specimens obtained by puncture were examined by cytopathology and histology. According to the pathological results of surgical specimens or therapeutic effect as the standard, Results the incidence of complications in 1 case of pneumothorax and 1 case of pneumothorax was 15. 6 cases with pneumothorax (less than 10% pneumothorax). No exact pathological results were obtained. The pathological results of one case were not consistent with the pathological results after operation. (conclusion CT guided puncture biopsy of anterior vena cava posterior space lesion was performed in 43 cases. On the basis of the operator's familiarity with the posterior anatomy of the anterior vena cava of trachea, it is safe to read the patient's image data carefully before operation and to make the appropriate puncture path according to the actual situation. Accurate histopathological results are obtained. This technique is of great help in guiding clinicians to make further diagnosis and treatment plans.
【作者单位】：南方医科大学珠江医院影像诊断科;
【分类号】：R56

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