[1]王波,温宗秋,武兴杰,等.CT定位仪在CT引导经皮肺部肿块穿刺活检的对照研究[J].介入放射学杂志,2007,(08):557.
 WANG Bo,WEN Zong-qiu,WU Xing-jie,et al.Comparative study of clinical application value with CT-Orientator stereotactic percutaneous puncture biopsy for pulmonary masses[J].journal interventional radiology,2007,(08):557.
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CT定位仪在CT引导经皮肺部肿块穿刺活检的对照研究()

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

卷:
期数:
2007年08期
页码:
557
栏目:
临床研究
出版日期:
2007-08-15

文章信息/Info

Title:
Comparative study of clinical application value with CT-Orientator stereotactic percutaneous puncture biopsy for pulmonary masses
作者:
王波温宗秋武兴杰
510080广州广东药学院附属第一医院(前为广州铁路中心医院)CT室(王波、温雅敏、盛展新);肿瘤科(温宗秋);放射科(武兴杰)
Author(s):
WANG BoWEN Zong-qiuWU Xing-jieWEN Ya-mingSHEN Zhan-xing.
Department of Radiology,The First Affiliated Hospital,Guangdong Pharmacy College,Guangzhou510080,China
关键词:
CT定位仪体层摄影术X线计算机穿刺活检对比研究
分类号:
R563
文献标志码:
B
摘要:
目的探讨CT穿刺角度定位仪(CT定位仪)在CT引导经皮肺部肿块穿刺活检(percutaneous puncture biopsy,PPB)的应用价值。方法根据电脑数字表随机分配原则对126例肺部肿块患者进行分组,研究组使用CT定位仪,对照组不使用该仪器,两者均进行CT引导下PPB检查,比较两组一次穿刺成功率,穿刺诊断的正确率,穿刺次数和并发症发生率。结果研究组借助CT定位仪独有导向针的指向作用,大大提高了一次穿刺的成功率,两组一次穿刺的成功率分别为95%和82%(P=0.023),在肿块直径≤2cm患者尤其明显(P=0.026);提高了穿刺诊断的正确率:两组分别是95.2%和84.1%(P=0.04);两组气胸发生率分别为4.8%和15.8%,两组间差异有统计学意义(P=0.0404)。结论使用CT定位仪行经皮肺肿块穿刺活检术,尤其在病灶小且远离胸壁时,可以准确把握穿刺方向,提高穿刺的准确度,减少手术盲目性及危险性,从而提高穿刺成功率,减少气胸发生。同时,CT定位仪具有使用简便,适用于各种螺旋与非螺旋CT机等优点,具有良好的临床应用前景。

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备注/Memo

备注/Memo:
收稿日期:2007-03-30
基金项目:课题属广州铁路集团公司局级课题(广铁校2001,3-38)。
更新日期/Last Update: 2007-08-15