活检相反体位穿刺抽气治疗CT引导下肺穿刺活检所致气胸

发布时间：2018-04-16 01:06

本文选题：活组织检查 + 肺　；参考：《中国介入影像与治疗学》2015年04期

【摘要】：目的探讨采用与活检相反体位穿刺抽气对治疗CT引导下肺穿刺活检并发气胸的意义。方法收集CT引导下经皮肺穿刺活检术后并发气胸并接受抽气治疗的102例患者,观察比较单纯抽气与单纯抽气+与活检相反体位穿刺抽气对治疗肺穿刺术后并发气胸的效果。结果 102例接受单纯抽气治疗的患者中,72例(72/102,70.59%)患者单纯抽吸治疗有效,其中18例完全缓解,54例部分缓解;30例(30/102,29.41%)单纯抽气无效,采用与活检相反体后穿刺抽气,其中8例完全缓解,20例部分缓解,2例患者抽气治疗失败而转采用胸腔置管术;改进抽气治疗方法后,抽气治疗气胸总有效率由70.59%(72/102)上升至98.04%(100/102)。结论采用单纯抽气+与活检相反体位穿刺抽气可以有效治疗CT引导下肺穿刺活检术后发生的气胸,从而减少使用胸腔置管术,为一种安全、有效的气胸微创处理方法。
[Abstract]:Objective to explore the significance of CT-guided lung biopsy combined with pneumothorax.Methods 102 cases of pneumothorax complicated with pneumothorax and treated with pneumothorax under the guidance of CT guided percutaneous lung biopsy were collected, and the effect of body position aspiration on the treatment of pneumothorax after lung puncture was observed and compared with that of simple aspiration and biopsy.Results among the 102 patients who received simple ventilation therapy, 72 cases were treated with 72% 72 / 102% 70.59%) the patients were effectively treated by simple aspiration. Among them, 54 cases of complete remission (54 cases of partial remission 30% 102229.41) were not effective.The total effective rate of pneumothorax was increased from 70.59 / 102 to 98.04 / 100 / 102 / 102 after the improvement of the method of ventilation treatment, the total effective rate of pneumothorax was increased from 70.59g / 102to 98.04g / 100 / 102a, and the total effective rate of pneumothorax was increased from 70.59g / 102a) to 98.04g / 102a.Conclusion Pneumothorax caused by CT guided lung biopsy can be effectively treated by simple aspiration and aspiration in opposite position of biopsy, thus reducing the use of thoracic tube placement, which is a safe and effective minimally invasive management method for pneumothorax.
【作者单位】：成都中医药大学附属医院放射科;川北医学院附属医院CT介入室;成都中医药大学附属医院超声科;
【基金】：国家自然科学基金(81141067)
【分类号】：R563;R816.41

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