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[CT引导下使用千叶针进行胸部病变的抽吸活检]

[Aspiration biopsy of thoracic lesions using the Chiba needle under CT guidance].

作者信息

Beslić S, Dalagija F, Lovrincević A, Lincender L, Ibralić M

机构信息

SOUR Univerzitetsko medicinski centar, Sarajevo.

出版信息

Vojnosanit Pregl. 1991 May-Jun;48(3):224-8.

PMID:1949663
Abstract

Percutaneous transthoracic aspiration biopsy (PTAB) is an interventional radiologic procedure for histologic confirmation or elimination of malignant nature of the lesion. The development of digital techniques (introduction of CT and US) and small gauge needles increased the interest for this method. CT scanner enables the accurate determination of the entry point of the puncture guide, precise visualisation of the needle tip and reliable analyses of complications. The type of the puncture needle is very important for establishment of the correct diagnosis. Of 163 Chiba needle punctures the cytologically representative samples were obtained in 84.7% and pathohistologically representative samples in 56%. Of complications the most common was pneumothorax found in 9.7% and alveolar hemorrhage in 9.1% cases. In this paper the method and contribution of the Chiba needles are analysed compared to the results of other authors obtained by other types of needles. Our results are satisfying with small number of complications.

摘要

经皮经胸穿刺活检(PTAB)是一种介入放射学检查方法,用于组织学确诊或排除病变的恶性性质。数字技术(CT和超声的引入)和细针的发展增加了人们对该方法的兴趣。CT扫描仪能够准确确定穿刺引导针的进针点,精确显示针尖位置,并可靠地分析并发症。穿刺针的类型对于正确诊断的建立非常重要。在163次千叶针穿刺中,84.7%获得了具有细胞学代表性的样本,56%获得了病理组织学代表性的样本。并发症中最常见的是气胸,发生率为9.7%,肺泡出血发生率为9.1%。本文分析了千叶针的方法和贡献,并与其他作者使用其他类型穿刺针获得的结果进行了比较。我们的结果令人满意,并发症数量较少。

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