高场封闭式MR导向穿刺活检的应用初探

发布时间：2018-12-23 08:02

【摘要】：目的探讨高场MR导向穿刺活检的临床应用价值。方法回顾性分析高场MR导向穿刺活检的62例患者,对穿刺针的使用、穿刺时间、穿刺部位等方面进行经验总结,并对其穿刺活检结果与术后组织病理学诊断结果以及临床随访结果进行对照分析。结果 62例患者活检中,52例(83.9%)在20 min内完成;38例(61.3%)使用非兼容性活检针。穿刺活检的部位包括胸部42例,腹部12例,骨关节8例。62例患者成功获得足够组织标本。最终确诊55例,7例不能确诊,穿刺活检患者总符合率为88.7%(55/62)。所有术者并发症中,出现针道及病灶周围出血8例(12.9%)。在42例肺部穿刺活检患者中,气胸3例(7.1%),其中1例行微创性胸腔闭式引流,术后少量咯血5例(11.9%),。未发现致命性并发症。结论高场MR导向活检是一种安全、方便、准确的方法,值得推广与应用。
[Abstract]:Objective to evaluate the clinical value of high-field MR guided biopsy. Methods 62 patients with high field MR guided puncture biopsy were retrospectively analyzed. The experience of puncture needle use, puncture time, puncture site and so on were summarized. The results of biopsy, histopathological diagnosis and clinical follow-up were compared and analyzed. Results among 62 patients, 52 (83.9%) were performed within 20 min and 38 (61.3%) were treated with incompatibility biopsy needle. The sites of biopsy included 42 cases of chest, 12 cases of abdomen and 8 cases of bone and joint. 55 cases were diagnosed and 7 cases were undiagnosed. The total coincidence rate of biopsy was 88. 7% (55 / 62). Among all the complications, 8 cases (12.9%) had bleeding around the needle and lesion. Of 42 patients with lung biopsy, 3 (7.1%) had pneumothorax, one of them underwent minimally invasive thoracic closed drainage and 5 (11.9%) had hemoptysis after operation. No fatal complications were found. Conclusion High field MR guided biopsy is a safe, convenient and accurate method, which is worth popularizing and applying.
【作者单位】：河南省周口市中心医院核磁共振室;河南省周口市中心医院病理科;
【基金】：河南省卫生科技创新型人才工程项目周口市第七批专业技术拔尖人才项目
【分类号】：R445.2;R561.4

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