[1]代孟君,金光鑫,仇晓霞,等.全开放MR导航下经皮腹膜后肿块同轴穿刺活检的临床应用[J].介入放射学杂志,2019,28(11):1047-1050.
 DAI Mengjun,JIN Guangxin,QIU Xiaoxia,et al.Clinical application of full-open MRI-navigated percutaneous coaxial puncture biopsy of the retroperitoneal masses[J].journal interventional radiology,2019,28(11):1047-1050.
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全开放MR导航下经皮腹膜后肿块同轴穿刺活检的临床应用()

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

卷:
28
期数:
2019年11期
页码:
1047-1050
栏目:
非血管介入
出版日期:
2019-11-25

文章信息/Info

Title:
Clinical application of full-open MRI-navigated percutaneous coaxial puncture biopsy of the retroperitoneal masses
作者:
代孟君 金光鑫 仇晓霞 丁 敏 潘 磊 张学彬
Author(s):
DAI Mengjun JIN Guangxin QIU Xiaoxia DING Min PAN Lei ZHANG Xuebin.
Department of Interventional Oncology, Affiliated Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
关键词:
【关键词】 穿刺活检 腹膜后肿块 MR导航
文献标志码:
A
摘要:
【摘要】 目的 探讨全开放MR导航系统辅助下经皮腹膜后肿块同轴穿刺活检术的效果和安全性。方法 回顾性分析2014年1月—2018年12月81例MR导航下腹膜后肿块穿刺活检的病例。均采用磁兼容16 G活检套筒针穿刺,当套筒针尖到达目标穿刺区域时,采用同轴活检枪通过套筒针活检取材。穿刺活检成功的标准为取出完整的长条状组织。若活检失败调整穿刺套筒针,继续取材,直到取出完整的长条状组织。结果 81例穿刺均顺利完成,总体穿刺活检成功率100%(81/81),其中1次穿刺活检成功率91.4%(74/81)。穿刺诊断准确率为97.5%(79/81)。47例采取经皮腹侧入路穿刺,34例采取经皮背侧入路穿刺,6例经皮经肝入路穿刺,无经胃肠及肾穿刺病例。平均手术时间为(28.2 ±5.5) min。术后无腹腔活动性出血、腹膜后血肿及肠穿孔等不良事件发生,2例患者WTO疼痛分级Ⅱ级,予以止痛对症支持治疗后缓解。结论 全开放MR导航下经皮腹膜后肿块穿刺活检术是一种精确而安全有效的诊断技术,且无辐射伤害,值得临床上推广。

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备注/Memo

备注/Memo:
(收稿日期:2019- 05- 25)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-11-18