Dalagija F, Beslić S, Dizdarević Z, Lovrincević A, Lincender L
Institut za radiologiju i onkologiju, UMC Sarajevo.
Plucne Bolesti. 1990 Jul-Dec;42(3-4):170-3.
CT-guided percutaneous transthoracic aspiration biopsy presenting one of interventional radiologic procedures, has enabled the sample providing for cytologic analysis. It has been frequently used with the aim of confirmation or elimination of malignant neoplastic process. The main advantages of CT over fluoroscopy are precise needle visualization, documentation of needle tip in the lesion, puncture of small, for fluoroscopy unreachable lesions, as well as the adequate presentation of eventual complications. The authors have analysed, retrospectively, 195 findings of patients, who underwent CT-guided Chiba needle percutaneous transthoracic aspiration biopsy. The finding was cytologically representative in 85.64% of cases, unrepresentative in 14.36%. Out of all complications, pneumothorax (9.74%) and perifocal hematom (9.23%) were most frequent. Contraindications, complications and safety of this very useful method in definitive diagnosing and planning of the adequate therapy have been discussed.
CT引导下经皮经胸穿刺活检是介入放射学程序之一，它能够提供用于细胞学分析的样本。该技术经常用于确诊或排除恶性肿瘤过程。CT相对于荧光透视的主要优势在于能精确显示穿刺针，记录针尖端在病变中的位置，对荧光透视无法到达的小病变进行穿刺，以及充分显示可能出现的并发症。作者回顾性分析了195例接受CT引导下千叶针经皮经胸穿刺活检患者的检查结果。在85.64%的病例中，检查结果具有细胞学代表性，14.36%的病例不具代表性。在所有并发症中，气胸（9.74%）和病灶周围血肿（9.23%）最为常见。本文讨论了这种在明确诊断和制定适当治疗方案中非常有用的方法的禁忌症、并发症及安全性。
