[1]张栋,陈 珑,倪才方,等.CT引导下经皮同轴细针穿刺活检术诊断胰腺占位性病变[J].介入放射学杂志,2013,(04):305-307.
 ZHANG Dong,CHEN Long,NI Cai? fang,et al.CT- guided percutaneous coaxial fine needle biopsy for the diagnosis of space?蛳 occupying lesions of the pancreas[J].journal interventional radiology,2013,(04):305-307.
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CT引导下经皮同轴细针穿刺活检术诊断胰腺占位性病变()

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

卷:
期数:
2013年04期
页码:
305-307
栏目:
非血管介入
出版日期:
2013-04-17

文章信息/Info

Title:
CT- guided percutaneous coaxial fine needle biopsy for the diagnosis of space?蛳 occupying lesions of the pancreas
作者:
张栋 陈 珑 倪才方 刘一之金泳海朱晓黎邹建伟沈健
Author(s):
ZHANG Dong CHEN Long NI Cai?蛳 fang LIU YI?蛳 zhi JIN Yong?蛳 hai ZHU Xiao?蛳 li ZOU Jian?蛳 wei SHEN Jian.
Department of Interventional Radiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215006, China
关键词:
【关键词】 胰腺 CT引导 同轴穿刺活检 细针
文献标志码:
A
摘要:
【摘要】 目的 评价CT引导下经皮同轴细针穿刺活检术对胰腺占位性病变诊断的技术成功率、诊断正确性及安全性。方法 在CT引导下采用18 G带芯穿刺针穿刺15例患者胰腺占位病变,然后经18 G穿刺针的外套针同轴引入20 G切割活检细针对胰腺占位性病变行经皮同轴穿刺活检。结果 15例患者共接受16次胰腺占位性病变活检,其中1例患者接受2次活检。CT证实16次经皮穿刺的穿刺针皆位于胰腺病灶内,15次活检病理结果与临床最终诊断相一致,1例患者第1次活检结果可疑阳性,后行第2次活检明确诊断为淋巴瘤。本组穿刺技术成功率100%,活检诊断与病理结果符合93.8%。所有病例无穿刺相关的严重并发症发生。结论 CT引导下经皮同轴细针穿刺活检术诊断胰腺占位性病变是安全、准确、微创的介入诊断技术。

参考文献/References:

[1] Low G, Panu A, Millo N, et al. Multimodality imaging of neoplastic and nonneoplastic solid lesions of the pancreas[J]. Radiographics, 2011, 31: 993 ?蛳 1015.[2] O’connell AM, Keeling F, Given M, et al. Fine?蛳 needle trucut biopsy versus fine?蛳 needle aspiration cytology with ultrasound guidance in the abdomen[J]. J Med Imaging Radiat Oncol, 2008, 52: 231 ?蛳 236.[3] 吴炜新, 吴辉塔, 王 馨, 等. CT导引下穿刺活检对胰腺占位性病变的诊断价值[J]. 介入放射学杂志, 2009, 18: 831 ?蛳 833.[4] 朱 琥, 黄汉平, 张 丽. CT引导下同轴活检系统对肺部占位病变诊断的临床意义[J]. 武汉大学学报: 医学版, 2012, 33: 387 ?蛳 389.[5] 葛坤元, 倪才方, 陈 珑, 等. CT引导下椎弓根后外侧途径经皮穿刺活检术在胸椎病变诊断中的应用[J]. 介入放射学杂志, 2010, 19: 486 ?蛳 489.[6] Sofocleous CT, Schubert J, Brown KT, et al. CT?蛳 guided transvenous or transcaval needle biopsy of pancreatic and peri?蛳 pancreatic lesions[J]. J Vasc Interv Radiol, 2004, 15: 1099 ?蛳 1104.[7] Jian B, Kimbrell HZ, Sepulveda A, et al. Lymphooepithelia1 cysts of the pancreas:endosomography?蛳 guided fine needle aspiration[J]. Diagn Cytopathol, 2008, 36: 662 ?蛳 665.[8] Amin Z, Theis B, Russell RC, et al. Diagnosing pancreatic Cancer: the role of percutaneous biopsy and CT[J]. Clin Radiol, 2006, 61: 996 ?蛳 1002.

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备注/Memo

备注/Memo:
(收稿日期:2013-01-21)
更新日期/Last Update: