CT引导下经胸针吸活检术。

CT-guided transthoracic needle biopsy.

作者信息

Gardner D, vanSonnenberg E, D'Agostino H B, Casola G, Taggart S, May S

机构信息

Department of Radiology, University of California, San Diego Medical Center.

出版信息

Cardiovasc Intervent Radiol. 1991 Jan-Feb;14(1):17-23. doi: 10.1007/BF02635526.

DOI:10.1007/BF02635526

PMID:2044122

Abstract

CT-guided biopsy of pulmonary and mediastinal lesions is safe and effective. It is most valuable in those cases in which fluoroscopic guidance is not possible due to resolution or anatomic consideration. CT guidance permits puncture of lesions as small as 0.5 cm, typically not seen fluoroscopically. Sensitivity of biopsy in malignant lung lesions in our series of 83 cases was 92%. Pneumothorax is the most frequent complication (10-60%) and requires chest tube insertion in 5-15% of patients.

摘要

CT引导下的肺和纵隔病变活检安全有效。在因分辨率或解剖学因素无法进行透视引导的情况下，它最具价值。CT引导能够对小至0.5厘米的病变进行穿刺，而这些病变通常在透视下无法看到。在我们的83例病例系列中，恶性肺病变活检的敏感性为92%。气胸是最常见的并发症（10%-60%），5%-15%的患者需要插入胸管。