[1]金 辉,谭 捷,王英虎,等.CT引导下肺小结节序贯穿刺、双针提插活组织检查[J].介入放射学杂志,2024,33(05):528-532.
　JIN Hui,TAN Jie,WANG Yinhu,et al.CT-guided sequence puncturing and double-needle pulling-inserting biopsy for small pulmonary nodules[J].journal interventional radiology,2024,33(05):528-532.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年05
页码:
528-532
栏目:
临床研究
出版日期:
2024-06-03

文章信息/Info

Title:
CT-guided sequence puncturing and double-needle pulling-inserting biopsy for small pulmonary nodules
作者:
金 辉;  谭 捷;  王英虎;  王 娟;  马丽华
Author(s):
JIN Hui;  TAN Jie;  WANG Yinhu;  WANG Juan;  MA Lihua.
Department of Oncology， Fourth Hospital of Hebei Medical University， Shijiazhuang， Hebei Province 050011， China
关键词:
【关键词】 CT引导;  同轴针;  精准穿刺;  肺结节
文献标志码:
A
摘要:
【摘要】 目的 探索肺结节序贯穿刺模式、双针提插活检方式的临床应用价值。方法 纳入2020年3月至2023年2月收治的孤立性肺结节患者57例。采用序贯穿刺模式和双针提插方式对肺结节进行穿刺和活组织检查。记录同轴针退针率、脱靶率、靶周率、靶心率，活检组织条长度和肺结节活检成功率，以及并发症。结果 57例患者中，肺结节穿刺退针2例（3.5%）。针尖与肺结节空间位置:靶心52例（91.2%），靶周5例（8.8%），脱靶0例。切割槽内活检组织条长度:等于靶结节直径42例（73.7%），≥靶结节半径11例（19.3%），＜靶结节半径4例（%），组织条缺如0例。肺结节活检成功57例（100%）。并发症:气胸12例（21.1%），肺针道出血10例（17.5%），活检区出血14例（24.6%）。结论 受内应力影响，现行同步穿刺模式和活检方式不是理想的肺结节穿刺模式和活检方式。针尾挂线方法可消除内应力影响，序贯穿刺模式可增加肺结节穿刺精度，双针提插法可提高活检成功率，并发症发生率在可接受范围。

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备注/Memo

备注/Memo:
（收稿日期:2023-04-19）
（本文编辑：新 宇）
更新日期/Last Update: 2024-06-03