The Application Value of Multi-window Settings and Thrombin Solutions Injection in CT-guided Percutaneous Needle Lung Biopsy_West China Medical Journal

Authors：

YU Decai ¹ ,  ZHANG Yong ² , XU Shizong ¹ , JIANG Bo ¹ , HE Zhengtao ¹ , YU Wei ¹

1. Department of Radiology, Fushun Chenguang Hospital (The Third People’s Hospital of Fushun County), Zigong, Sichuan 643200, P. R. China; 2. Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;

Corresponding?author：

ZHANG Yong, Email: 759740128@qq.com

Keywords：

CT引導; 肺疾病; 穿刺活檢; 并發癥

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目的　討論多窗技術+凝血酶封閉在CT導向下經皮肺穿刺活檢中的應用價值。方法　2009年6月－2010年3月收集分析由同一工作組連續完成的CT導向下肺穿刺活檢患者共128例，其中A組58例，采用雙窗技術+注射生理鹽水；B組70例，采用多窗技術+注射凝血酶）。比較兩組患者的診斷陽性率、氣胸及肺出血發生率的差異。結果　128例均穿刺成功，A組的穿刺診斷陽性率、氣胸發生率及肺出血發生率分別為87.9%、13.8%、17.5%。B組的穿刺診斷陽性率為92.9%，氣胸發生率為8.6%，肺出血發生率為5.7%。兩組穿刺診斷陽性率和氣胸發生率的差異無統計學意義（P＞0.05）；B組肺出血的發生率均明顯低于A組，兩組間肺內出血的發生率差異有統計學意義（P＜0.05）。結論　多窗技術+凝血酶針道封閉技術能有助于減少氣胸、肺出血等肺穿刺活術的并發癥，具有重要的臨床應用價值。

Citation： YU Decai,ZHANG Yong,XU Shizong,JIANG Bo,HE Zhengtao,YU Wei. The Application Value of Multi-window Settings and Thrombin Solutions Injection in CT-guided Percutaneous Needle Lung Biopsy. West China Medical Journal, 2012, 27(3): 382-385. doi: Copy

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2.	Wagnetz U, Menezes RJ, Boerner S, et al. CT screening for lung cancer: implication of lung biopsy recommendations[J]. Am J Roentgenol, 2012, 198(2): 351-358.
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7.	Gupta S, Sultenfuss M, Romaguera JE, et al. CT-guided percutaneous lung biopsies in patients with haematologic malignancies and undiagnosed pulmonary lesions[J]. Hematol Oncol, 2010, 28(2): 75-81.
8.	林杰, 楊漢豐, 任勇軍. 應用生理鹽水預防經皮肺穿刺活檢中氣胸發生的初探[J]. 放射學實踐, 2009, 24(7): 795-797.
9.	Tsai IC, Tsai WL, Chen MC, et al. CT-guided core biopsy of lung lesions: a primer [J]. AJR Am J Roentgenol, 2009, 193(5): 1228-1235.
10.	鐘濤, 于紅光, 王勇, 等. CT引導下經皮肺穿刺活檢術后氣胸發生率的相關因素分析[J]. 中華放射學雜志, 2007, 41(11): 1232-1236.
11.	張建偉, 許春苗. CT引導下經皮肺穿刺活檢并發癥的相關因素分析[J]. 放射學實踐, 2007, 22(4): 398-400.
12.	范躍星, 王鋒, 張錦, 等. CT窗技術在急性胰腺炎診斷中的應用[J]. 臨床放射學雜志, 2010, 29(5): 695-697.
13.	許澤兵, 翟昭華, 何菲, 等. CT引導下肺穿刺活檢并發癥的相關因素的logistic分析[J]. 川北醫學院學報, 2011, 26(2): 167-171.

1. 　Gouliamos AD, Giannopoulos DH, Panagi GM, et al. CT-guided fine needle aspiration of peripheral lung opacities: an initial diagnostic procedure? [J]. Acta Cytol, 2000, 44(3): 344-348.
2. 　Wagnetz U, Menezes RJ, Boerner S, et al. CT screening for lung cancer: implication of lung biopsy recommendations[J]. Am J Roentgenol, 2012, 198(2): 351-358.
3. 　Nashed Z, Klein JS, Zarka MA. Special techniques in CT-guided transthoracic needle biopsy [J]. AJR Am J Roentgenol, 1998, 171(6): 1665-1668.
4. 　林杰, 楊漢豐, 李春平, 等. CT引導下經皮穿刺活檢肺內小結節病灶的診斷價值[J]. 華西醫學, 2008, 23(1): 57-58.
5. 　Priola AM, Priola SM, Cataldi A, et al. Accuracy of CT-guided transthoracic needle biopsy of lung lesions: factors affecting diagnostic yield [J]. Radiol Med (Torino), 2007, 112(8): 1142-1159.
6. 　Billich C, Muche R, Brenner G, et al. CT-guided lung biopsy: incidence of pneumothorax after instillation of NaCl into the biopsy track [J]. Eur Radiol, 2008, 18(6): 1146-1152.
7. 　Gupta S, Sultenfuss M, Romaguera JE, et al. CT-guided percutaneous lung biopsies in patients with haematologic malignancies and undiagnosed pulmonary lesions[J]. Hematol Oncol, 2010, 28(2): 75-81.
8. 　林杰, 楊漢豐, 任勇軍. 應用生理鹽水預防經皮肺穿刺活檢中氣胸發生的初探[J]. 放射學實踐, 2009, 24(7): 795-797.
9. 　Tsai IC, Tsai WL, Chen MC, et al. CT-guided core biopsy of lung lesions: a primer [J]. AJR Am J Roentgenol, 2009, 193(5): 1228-1235.
10. 　鐘濤, 于紅光, 王勇, 等. CT引導下經皮肺穿刺活檢術后氣胸發生率的相關因素分析[J]. 中華放射學雜志, 2007, 41(11): 1232-1236.
11. 　張建偉, 許春苗. CT引導下經皮肺穿刺活檢并發癥的相關因素分析[J]. 放射學實踐, 2007, 22(4): 398-400.
12. 　范躍星, 王鋒, 張錦, 等. CT窗技術在急性胰腺炎診斷中的應用[J]. 臨床放射學雜志, 2010, 29(5): 695-697.
13. 　許澤兵, 翟昭華, 何菲, 等. CT引導下肺穿刺活檢并發癥的相關因素的logistic分析[J]. 川北醫學院學報, 2011, 26(2): 167-171.

West China Medical Journal

The Application Value of Multi-window Settings and Thrombin Solutions Injection in CT-guided Percutaneous Needle Lung Biopsy

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