CT导引下经皮穿刺活检的意义及体会——附124例报告

The Significance and Experience of CT Guided Percutaneous Biopsy(A Report of 124 cases)

本文报告了124例身体各部位病变 CT 导引下针吸活检,包括腹部51例、胸部50例、盆腔7例,其它部位16例;病变包括肿瘤67例、脓肿27例、腹及胸腔积液30例。同时还对其中胸部及肝脏脓肿进行了治疗,即行脓肿抽吸引流。本文着重讨论了 CT 导引下穿刺活检的诊断意义及治疗意义。本组穿刺总准确率为85.1%,其中腹部87.5%,胸部79.2%,其它部位90%,假阴性13.4%。除胸部穿刺出现胸痛、气胸及咯血痰各1例外,发生严重并发症。认为 CT 导引下穿刺活检较 B 超及普通 X 线导引准确性高、安全性大、并发症少,是对疑难及不典型病例的补充诊断手段之一。

The paper reported 124 cases CT-guided percutaneous biopsy;abdomen 51 cases,thorax 50,pelvic 7 and the residual 16 cases;including tumor 67 cases,abscess 27 plural effusion and ascites 30.The paper discussed stressly the value of the diagnosis and treatment including drainage of the thoracic and hepatic abscesses.The biopsy accuracy of total group was 85.1%,with abdomen 87.5%,thorax 79.2%,and other part 90%.The false negative rate was 13.4 %.No serious complication occured except chest pain,pneu- mothorax and hemolysis.The authers considered that CT-guided percutanous biopsy was more accurate and safe with less complication than us and X-ray guided.The puncture tech- nique and experience were also dealed with.At last,the reasons of false negative results were analyzed.