[1]郝伟远,陈玉堂,邵国良.IG4电磁导航系统辅助CT引导下肺结节穿刺活检术的临床应用[J].介入放射学杂志,2016,(08):682-685.
　HAO Wei-yuan,CHEN Yu-tang,SHAO Guo-liang.Clinical application of IG4 electromagnetic navigation system-assisted CT-guided percutaneous needle biopsy of pulmonary nodules[J].journal interventional radiology,2016,(08):682-685.
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IG4电磁导航系统辅助CT引导下肺结节穿刺活检术的临床应用 ()

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

卷:
期数:
2016年08期
页码:
682-685
栏目:
非血管介入
出版日期:
2016-08-25

文章信息/Info

Title:
Clinical application of IG4 electromagnetic navigation system-assisted CT-guided percutaneous needle biopsy of pulmonary nodules
作者:
郝伟远;  陈玉堂;  邵国良
Author(s):
HAO Wei-yuan;  CHEN Yu-tang;  SHAO Guo-liang
Department of Interventional Radiology, Zhejiang Provincial Tumor Hospital, Hangzhou, Zhejiang Province 310022, China
关键词:
【关键词】 电磁导航系统;  CT引导;  肺穿刺活检术
文献标志码:
A
摘要:
【摘要】 目的 评价IG4电磁导航系统在CT引导下经皮穿刺肺活检术中的应用价值。 方法 选择40例患者20例行IG4电磁导航系统辅助CT引导下肺穿刺活检,20例行常规CT引导下肺穿刺活检,记录2组定位时间、调针次数、扫描次数、辐射剂量、瞄准精度以及并发症情况。 结果 IG4电磁导航系统辅助组中20例患者在穿刺过程中成功应用该系统,其肺活检平均定位时间为(10.05±1.75) min (7.5~14.0 min)；穿刺针平均调整次数(1.10±0.31)次(1～5次)；平均扫描次数为(3.30±0.73)次(3～6次)；剂量长度乘积(DLP)均值为(724.25±186.23) mGy·cm (415.50~1 080.50 mGy·cm)； 20次穿刺定位中,15次瞄准精度＜5 mm,4次为5~10 mm,1次为13 mm,穿刺针瞄准精度均值为(4.72±3.33) mm(1～13 mm)。常规穿刺组肺活检平均定位时间（15.10±2.40） min (11～19 min)；穿刺针平均调整次数(4.05±1.32)次(3～7次)；平均扫描次数为(6.05±1.32)次(5～9次),剂量长度乘积（DLP）均值为（1419.10±387.59） mGy·cm (900.50～1 958.90 mGy·cm)。40例患者均无严重并发症发生。两组患者平均定位时间、平均穿刺针调整次数、平均扫描次数、剂量长度乘积均值对比差异均有统计学意义。 结论 电磁导航系统辅助下CT引导肺穿刺活检术可缩短定位时间,减少调针次数、扫描次数,同时可减少患者接受的辐射剂量,是一种值得推广的影像引导新方法。

参考文献/References:

［1］ Khankan AA, Al-Muaikeel M. Image-guided percutaneous transthoracic biopsy in lung cancer: emphasis on CT-guided technique［J］. J Infect Public Health, 2012, 5(Suppl 1): S22-S30.
［2］ Hiraki T, Mimura H, Gobara H, et al. Incidence of and risk factors for pneumothorax and chest tube placement after CT fluoroscopy-guided percutaneous lung biopsy: retrospective analysis of the procedures conducted over a 9-year period［J］. AJR Am J Roentgenol, 2010, 194: 809-814.
［3］ 王忠敏, 陈志瑾, 李麟荪. CT四维电磁导航在肿瘤微创介入治疗中的应用［J］. 介入放射学杂志, 2014, 23: 93-95.
［4］ 杨 杰, 肖越勇, 张 肖, 等. 电磁导航系统在CT引导下经皮穿刺肺活检术中的应用［J］. 中国介入影像与治疗学, 2012, 9: 172-174.
［5］ Braak SJ, Herder GJ, Van Heesewijk JP, et al. Pulmonary masses: initial results of cone-beam CT guidance with needle planning software for percutaneous lung biopsy［J］. Cardiovasc Intervent Radiol, 2012, 35: 1414-1421.
［6］ Santos RS, Gupta A, Ebright MI, et al. Electromagnetic navigation to aid radiofrequency ablation and biopsy of lung tumors［J］. Ann Thorac Surg, 2010, 89: 265-268.
［7］ Yildirim E, Kirbas I, Harman A, et al. CT-guided cutting needle lung biopsy using modified coaxial technique: factors effecting risk of complications［J］. Eur J Radiol, 2009, 70: 57-60.
［8］ 李 平, 曹军丽, 张庆怀, 等. 孤立肺微结节86例CT引导下经皮穿刺取材活检术［J］. 介入放射学杂志, 2013, 22: 1049-1051.

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备注/Memo

备注/Memo:
(收稿日期：2016-04-10)
(本文编辑：俞瑞纲）
更新日期/Last Update: 2016-08-23