Department of Diagnostic and Interventional Radiology, San Martino University Hospital, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
Cardiovasc Intervent Radiol. 2011 Feb;34(1):184-7. doi: 10.1007/s00270-010-9816-z. Epub 2010 Feb 12.
The purpose of this study is to report our preliminary experience using MDCT-guided percutaneous transthoracic needle aspiration biopsy using the transscapular approach in the upper posterolateral lung nodules, an area that it is difficult or hazardous to reach with the conventional approach. Five patients underwent CT-guided percutaneous transthoracic needle aspiration biopsy of the lung via the transscapular approach. A coaxial needle technique was used in all patients. Biopsy was successful in all patients. No major complications were encountered. One patient developed a minimal pneumothorax next to the lesion immediately after biopsy, which resolved spontaneously. MDCT-guided percutaneous transthoracic needle aspiration biopsy of the lung via the transscapular approach is an effective and safe procedure that reduces the risk of pneumothorax in selected patients.
本研究旨在报告我们使用 MDCT 引导经皮经胸穿刺活检术经肩胛骨入路对肺上后外侧结节进行初步经验，该区域用传统方法难以到达或具有危险性。5 名患者接受了 CT 引导经皮经胸穿刺活检术经肩胛骨入路对肺进行活检。所有患者均采用同轴针技术。所有患者的活检均成功完成。未发生重大并发症。1 名患者在活检后立即出现紧邻病变的少量气胸，自发性缓解。MDCT 引导经皮经胸穿刺活检术经肩胛骨入路是一种有效且安全的方法，可降低选定患者发生气胸的风险。
