[1]杨秀军,邢光富,史常文,等.软组织不透x线异物透视导向经皮钳取治疗[J].介入放射学杂志,2011,(01):37.
　YANG Xiu-jun,XING Guang-fu,SHI Chang-wen,et al.Percutaneous interventional forceps removal of radiopaque foreign bodies in soft-tissue under fluoroscopic guidance[J].journal interventional radiology,2011,(01):37.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年01期
页码:
37
栏目:
非血管介入
出版日期:
2011-01-15

文章信息/Info

Title:
Percutaneous interventional forceps removal of radiopaque foreign bodies in soft-tissue under fluoroscopic guidance
作者:
杨秀军;  邢光富;  史常文;  李 巍
200235  上海市第八人民医院放射科；普外科
Author(s):
YANG Xiu-jun;  XING Guang-fu;  SHI Chang-wen;  LI Wei.
Department of Radiology, Shanghai No.8 People’s Hospital, Shanghai 200235, China
关键词:
异物; 　软组织损伤; 　三维影像; 　介入放射学
分类号:
R659
文献标志码:
Ａ
摘要:
目的　　　探讨透视导向经皮摘除软组织不透Ｘ线异物的临床价值与限度。方法 ２００５年６月至２０１０年６月上海市第八人民医院诊治软组织不透Ｘ线异物损伤患者４ １０５例，均经Ｘ线平片确诊，其中１ ５９１例经ＣＴ进一步佐证尤其仿真解剖评价。介入摘除术采用在Ｃ臂机Ｘ线电视透视引导、局麻下经皮直接钳取异物。结果 经皮介入摘除异物者６１．３４％（２ ５１８／４ １０５），其中完全治愈率９５．０７％（２ ３９４／２ ５１８）、部分治愈率４．８１％（１２１／２ ５１８）、失败率０．１２％（３／２ ５１８）；未行介入治疗者３８．６６％（１ ５８７／４ １０５），其中患者自行离院为２５．０２％（３９７／１ ５８７）、医技原因为７４．９８％（１ １９０／１ ５８７），后者中异物紧贴大血管者占６５．２２％（１ ０３５／１ ５８７）、伴局部血肿者占２．９０％（４６／１ ５８７）、伴假性动脉瘤者占１．３２％（２１／１ ５８７）；其他如碎玻璃异物损伤等占５．５５％（８８／１ ５８７）。ＣＴ尤其增强ＣＴ三维成像对异物旁动、静脉结构及其损伤的精确揭示，评估了软组织异物损伤介入可摘除性及治疗风险。本组未出现需要治疗的出血、感染、神经损伤等并发症。结论 透视导向经皮异物钳取术是软组织不透Ｘ线异物损伤有效的微创治疗方法，异物紧贴大血管或伴大血管损伤者多属其禁忌证，术前增强ＣＴ尤其三维成像检查对这些复杂病例是必要的，首次提出了血管、非血管双介入异物摘除术理念。

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备注/Memo

备注/Memo:
收稿日期：２０１００９１６
上海市卫生局课题（项目编号：2008186）
更新日期/Last Update: 2011-01-15