[1]汪继武,陈耀康,张 均,等.同轴凝血退针法在CT引导下经皮肺穿刺活检中的应用[J].介入放射学杂志,2020,29(05):468-471.
 WANG Jiwu,CHEN Yaokang,ZHANG Jun,et al.Application of coaxial thrombin needle withdrawal technique in CT-guided percutaneous lung biopsy[J].journal interventional radiology,2020,29(05):468-471.
点击复制

同轴凝血退针法在CT引导下经皮肺穿刺活检中的应用()

PDF下载中关闭

分享到:

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

卷:
29
期数:
2020年05
页码:
468-471
栏目:
非血管介入
出版日期:
2020-05-25

文章信息/Info

Title:
Application of coaxial thrombin needle withdrawal technique in CT-guided percutaneous lung biopsy
作者:
汪继武 陈耀康 张 均 张 凌 张泽明 林义秋
Author(s):
WANG Jiwu CHEN Yaokang ZHANG Jun ZHANG Ling ZHANG Zeming LIN Yiqiu.
Department of Radiology, Panzhihua Municipal Central Hospital, Panzhihua, Sichuan Province 617067, China
关键词:
【关键词】 体层摄影术 X线计算机 肺癌 穿刺活检 气胸 同轴凝血退针法
文献标志码:
A
摘要:
【摘要】 目的 探讨同轴凝血退针法在预防CT引导下经皮肺穿刺活检并发症中的价值及其优缺点。方法 将134例进行CT引导下经皮肺穿刺活检患者分成两组:61例CT引导下经皮肺穿刺活检患者采用常规方法进行穿刺活检为对照组,73例CT引导下经皮肺穿刺活检患者采用同轴凝血退针法进行穿刺活检为研究组。统计并比较两组的术后并发症。 结果 CT引导下经皮肺穿刺活检术中,对照组气胸20例,发生率为32.7%,研究组8例(10.9%),两者差异具有统计学意义(P<0.05);对照组15例出血,发生率为24.5%,研究组7例出血,发生率为9.6%,两组差异具有统计学意义(P<0.05),同轴凝血退针法穿刺并发气胸和出血的概率均低于传统方法。结论 同轴凝血退针法在CT引导下经皮肺穿刺活检应用中优于传统方法,并发症低,具有应用前景,值得推广普及。

参考文献/References:

[1] 王 琤, 张党博. CT 引导经皮肺穿刺活检的临床评价[J]. 国际呼吸杂志, 2014, 34: 594-596.
[2] 邵亚军, 朱红艳, 王西惠, 等. CT引导下经皮肺穿刺活检的应用价值及其并发症[J]. 现代肿瘤医学, 2014, 22: 1340-1341.
[3] 张 欣, 肖越勇, 张 肖, 等. CT引导下经皮肺穿刺活检并发出血的预防和处理[J]. 中国介入影像与治疗学, 2015, 12: 202-205.
[4] 龚圣兵, 刘 扬, 夏社芹. 89例CT引导下同轴法经皮肺穿刺切割活检术的临床应用[J]. 临床肺科杂志, 2014, 19: 2318-2321.
[5] Winokur RS, Pua BB, Sullivan BW. Percutaneous lung biopsy: technique, efficacy, and complications[J]. Semin Intervent Radiol, 2013, 30: 121-127.
[6] 姚富兴, 陈军法. CT引导下经皮肺穿刺活检诊断肺外周病灶的应用分析[J]. 医学影像学杂志, 2014, 24: 2207-2210.
[7] Chakrabarti B, Earis JE, Pandey R, et al. Risk assessment of pneumothorax and pulmonary haemorrhage complicating percuta?蛳neous co-axial cutting needle lung biopsy[J]. Respir Med, 2009, 103: 449-455.
[8] Alam U, Punjabi R, Rzeszotarski MS. Pneumothorax rates during CT-guided lung biopsies[J]. Radiology, 2001, 220: 554-555.
[9] 中国抗癌协会肿瘤介入学专业委员会,中国抗癌协会肿瘤介入学专业委员会青年委员会. 胸部肿瘤经皮穿刺活检中国专家共识[J]. 中华介入放射学电子杂志, 2018, 6: 188-194.
[10] 杨肖华, 黄新宇, 汪国祥. CT引导下经皮肺穿刺活检术并发症的影响因素分析[J]. 介入放射学杂志, 2013, 22: 658-662.
[11] Nour-Eldin NE, Alsubhi M, Naguib NN, et al. Risk factor analysis of pulmonary hemorrhage complicating CT-guided lung biopsy in coaxial and non-coaxial core biopsy techniques in 650 patients[J]. Eur J Radiol, 2014, 83: 1945-1952.
[12] 李茹恬, 任 伟, 孔炜伟, 等. 液性撤退法联合同轴法减少CT引导下经皮肺穿刺活检气胸并发症[J].现代肿瘤医学,2016, 24: 558-561.
[13] 郑后军, 杨汉丰, 杜 勇, 等. 经皮肺穿刺活检注射生理盐水与凝血酶预防常见并发症的对比[J]. 放射学实践, 2011, 26:446-448.
[14] 何 闯, 李 扬, 杨 丽, 等. CT引导下肺实性结节切割活检术后出血与气胸的多因素分析[J]. 介入放射学杂志, 2017, 26: 654-659.
[15] Ialongo P, Ciarpaglini L, Tinti MD, et al. Systemic air embolism as a complication of percutaneous computed tomography guided transthoracic lung biopsy[J]. Ann R Coll Surg Engl, 2017, 99: 174-176.
[16] 刘世合, 于华龙, 付 青, 等. CT引导下经皮肺穿刺活检并发体循环空气栓塞的危险因素[J].中国介入影像与治疗学,2018, 15: 592-596.
[17] 李昌燕, 刘建莉, 赵开飞. 1例CT引导下肺穿刺活检继发空气栓塞形成[J]. 介入放射学杂志, 2017, 26: 645-646.

相似文献/References:

[1]汪建华,左长京,邵成伟,等. CT引导下125Ⅰ粒子植入治疗腹部淋巴结转移癌的 临床应用[J].介入放射学杂志,2011,(11):877.
 WANG Jian-hua,ZUO Chang-jing,SHAO Cheng-wei,et al.CT-guided 125Ⅰ seed brachytherapy for abdominal metastatic lymph nodes[J].journal interventional radiology,2011,(05):877.
[2]魏宁,徐浩,祖茂衡,等.螺旋CT及气管三维重建技术观察气管支架置入术的疗效和并发症的临床应用[J].介入放射学杂志,2012,(01):50.
 WEI Ning,XU Hao,ZU Mao-heng,et al.The application of spiral-CT and 3D-imaging of airway for observation of efficacy and complication after tracheobronchial stent placement[J].journal interventional radiology,2012,(05):50.
[3]彭辽河,胡晓燕,李 杰,等. 18F-FDG PET/CT显像在肝细胞癌TACE术后残留或复发病灶检出中的应用价值[J].介入放射学杂志,2012,(08):636.
 PENG Liao- he,HU Xiao- yan,LI Jie,et al. Clinical application of 18F- FDG PET/CT imaging in detecting residual lesions or recurrence foci of hepatocellular carcinoma after TACE treatment[J].journal interventional radiology,2012,(05):636.
[4]蒲德利,廖江荣.射频消融联合化疗治疗周围型中晚期非小细胞肺癌疗效观察[J].介入放射学杂志,2013,(02):129.
 PU De? li,LIAO Jiang? rong..Radiofrequency ablation combined with GP chemotherapy for stage Ⅲ and Ⅳ peripheral non- small cell lung cancer: a clinical observation[J].journal interventional radiology,2013,(05):129.
[5]伍筱梅,叶丽芳,任医民. 多层螺旋CT血管成像诊断体-肺循环分流的价值 [J].介入放射学杂志,2014,(08):667.
 WU Xiao mei,YE Li fang,REN Yi ming..Clinical application of multi slice spiral CT angiography in diagnosing bronchial pulmonary shunts[J].journal interventional radiology,2014,(05):667.
[6]蒲德利,廖江荣,彭 刚. 放射性125I粒子植入近距离放射治疗18例口腔癌的疗效观察[J].介入放射学杂志,2013,(10):851.
 PU De? li,LIAO Jiang? rong,PENG Gang.. The therapeutic effect of brachytherapy with 125I seed implantation for oral cancer: observation of 18 cases[J].journal interventional radiology,2013,(05):851.
[7]陈兴灿,张永强,刘 淼,等.纠正CT引导外定位穿刺点误差的方法[J].介入放射学杂志,2014,(11):972.
 CHEN Xing can,ZHANG Yong qiang,LIU Miao,et al.The correction of puncture point error in CT guided puncturing biopsy: study of the methods[J].journal interventional radiology,2014,(05):972.
[8]林晓南,林征宇,缪仙花,等.兔肺VX2肿瘤微波消融多模态成像实验研究[J].介入放射学杂志,2018,27(11):1064.
 LIN Xiaonan,LIN Zhengyu,MIAO Xianhua,et al.Multimodal imaging of rabbit lung VX2 tumor treated with microwave ablation: an experimental study[J].journal interventional radiology,2018,27(05):1064.
[9]杨 波,李树平,张 慧,等.320排容积CT评估原发性肝癌供血动脉的临床应用[J].介入放射学杂志,2021,30(12):1270.
 YANG Bo,LI Shuping,ZHANG Hui,et al.The clinical application of 320-row volume CT in evaluating the blood supply arteries of primary hepatocellular carcinoma[J].journal interventional radiology,2021,30(05):1270.

备注/Memo

备注/Memo:
(收稿日期:2019-07-15)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-05-22