[1]刘 健,刘瑞青,曹会存,等.CT引导下颅脑穿刺活检术23例[J].介入放射学杂志,2015,(05):438-441.
 LIU Jian,LIU Rui qing,CAO Hui cun,et al.The clinical application of CT guided craniocerebral puncture biopsy: initial experience in 23 cases[J].journal interventional radiology,2015,(05):438-441.
点击复制

CT引导下颅脑穿刺活检术23例()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年05期
页码:
438-441
栏目:
临床研究
出版日期:
2015-05-25

文章信息/Info

Title:
The clinical application of CT guided craniocerebral puncture biopsy: initial experience in 23 cases
作者:
刘 健 刘瑞青 曹会存 王振豫 曹广劭 刘诗义 李天晓
Author(s):
LIU Jian LIU Rui qing CAO Hui cun WANG Zhen yu CAO Guang shao LIU Shi yi LI Tian xiao
Interventional Therapy Center, Henan Provincial People’s Hospital, Zhengzhou University, Zhengzhou, Henan Province 450003, China
关键词:
【关键词】 颅脑病变 穿刺活检 CT引导技术
文献标志码:
A
摘要:
【摘要】 目的 探讨CT引导下颅脑占位穿刺活检术对神经系统疾病的诊断意义及安全性。方法2013年4月至2014年6月行CT引导下行颅脑占位穿刺活检术共23例。所有患者均具有神经系统临床症状或体征,影像学检查提示颅内占位。CT引导下颅脑占位穿刺活检术行病理学或细菌学检查,对其结果进行分析。结果 本组患者中明确病理诊断19例,活检阳性诊断率82.6%(19/23)。其中14例(60.9%)获得肿瘤学病理诊断,主要包括脑胶质瘤、非霍奇金淋巴瘤、胚胎发育不良性神经上皮肿瘤、脉络丛乳头状肿瘤、表皮样囊肿等;5例(21.7%)为非肿瘤性病变,包括脓肿、脑胶质细胞增生症、脑毛细血管扩张症等。活检穿刺术后少量血肿者1例(4.3%),本组病例穿刺活检术后无颅内感染、癫痫等并发症。结论 CT引导下脑穿刺活检术创伤小,并发症少,可以为颅脑病变提供明确病理学诊断,是一种具有较广阔应用前景的技术。

参考文献/References:

[1] 李海岩, 阮世捷, 彭 翔, 等. 基于CT图像的活体人颅骨几何特征的研究[J]. 中国生物医学工程学报, 2007, 27: 946 950.
[2] 田增民, 王亚明. 立体定向脑组织活检技术[M]. 北京: 人民军医出版社, 2012: 14.
[3] 田增民, 王亚明, 于 新, 等. 立体定向脑内病灶活检的临床意义[J]. 中华外科杂志, 2010, 48: 1459 1462.
[4] Thanos L, Mylona S, Galani P, et al. Freehand two step CT guided brain tumor biopsy: a fast and effective interventional procedure in selected patients[J]. Cardiovasc Intervent Radiol, 2006, 29: 264 269.
[5] Greenblatt SH, Rayport M, Savolaine ER, et al. Computed tomography guided intracranial biopsy and cyst aspiration[J]. Neurosurgery, 1982, 11: 589 598.
[6] Moran CJ, Naidich TP, Marchoski JA. CT guided needle placement in the central nervous system: results in 146 consecutive patien[J]. AJR Am J Roentgenol, 1984, 143: 861 868.
[7] Goldstein S, Gumerlock MK, Neuwelt EA. Comparison of CT guided and stereotaxic cranial diagnostic needle biopsies[J]. J Neurosurg, 1987, 67: 341 348.
[8] Wen DY, Hall WA, Miller DA, et al. Targeted brain biopsy: a comparison of freehand computed tomography guided and stereo tactic techniques[J]. Neurosurgery. 1993, 32: 407 412.
[9] Lee T, Kenny BG, Hitchock ER, et al. Supratentorial masses: stereotactic or freehand biopsy?[J]. Br J Neurosurg, 1991, 5: 331 338.
[10] Bernstein M, Parrent AG. Complications of CT guided stereotactic biopsy of intra axial brain lesions[J]. J Neurosurg. 1994, 81: 165 168.
[11] Seliem RM, Assaad MW, Gorombey SJ, et al. Fine needle aspiration biopsy of the central nervous system performed freehand under computed tomography guidance without stereotactic instrumentation[J]. Cancer, 2003, 99: 277 284.

相似文献/References:

[1]郭启勇,陈丽英.非血管系统介入放射学的现状与发展[J].介入放射学杂志,1997,(02):63.
[2]冯晓新,王宏,班志诚,等.CT导向腹部病灶穿刺活检的临床应用(附58例分析)[J].介入放射学杂志,1998,(01):39.
[3]吴建安,邱菊生,李毅明,等.CT引导下胸腹部穿刺活检及介入性治疗(40例报告)[J].介入放射学杂志,1998,(01):37.
[4]张善生.CT导引下胸部穿刺活检及介入治疗[J].介入放射学杂志,1998,(01):36.
[5]罗福成,童清平.介入性超声的基本内容与发展历史[J].介入放射学杂志,1995,(04):221.
[6]黄大钡,李晓群,文自祥,等. C臂CT在肺小结节经皮肺穿刺活检中的临床应用[J].介入放射学杂志,2012,(09):770.
 HUANG Da- bei,LI Xiao- qun,WEN Zi- xiang,et al. The clinical application of C?蛳 arm computed tomography in performing percutaneous needle biopsy of pulmonary nodules[J].journal interventional radiology,2012,(05):770.
[7]王晓静,李 平,张彦秋,等. CT引导下甲状腺结节经皮穿刺活检技术的临床应用[J].介入放射学杂志,2014,(05):415.
 WANG Xiao- jing,LI Ping,ZHANG Yan- qiu,et al. The clinical application of CT- guided percutaneous puncture biopsy in diagnosing thyroid nodes[J].journal interventional radiology,2014,(05):415.
[8]张 勇,周玉梅,陈淑君,等.明胶海绵颗粒联合凝血酶预防CT引导下卵巢癌穿刺活检术后针道出血[J].介入放射学杂志,2016,(05):412.
 ZHANG Yong,ZHOU Yu- mei,CHEN Shu- jun,et al.Combination use of gelatin sponge particles and thrombin solution injection for the prevention of needle tract bleeding after CT- guided biopsy of ovarian cancer[J].journal interventional radiology,2016,(05):412.
[9]王 猛,周志刚,潘元威,等.新型同轴技术在前中纵隔肿块穿刺活检术中应用 [J].介入放射学杂志,2016,(04):329.
 WANG Meng,ZHOU Zhi- gang,PAN Yuan- wei,et al.Application of novel coaxial technique in performing puncture biopsy of anterior- middle mediastinal masses[J].journal interventional radiology,2016,(05):329.
[10]梅丽丽,曾书娥.超声造影联合实时弹性成像在前列腺穿刺活检中的应用价值探究[J].介入放射学杂志,2019,28(04):347.
 MEI Lili,ZENG Shue..The application value of contrast- enhanced ultrasonography combined with transrectal real- time elastography in prostate biopsy[J].journal interventional radiology,2019,28(05):347.

备注/Memo

备注/Memo:
(收稿日期:2014-10-14)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-05-19