Zhang X Z, Lu Y
Department of Radiology, China-Japan Friendship Hospital, Beijing.
Chin Med J (Engl). 1990 Jul;103(7):599-603.
CT-guided transcutaneous fine-needle aspiration biopsies were done in 350 patients. They involved the abdomen in 226 patients (liver 75, pancreatic and abdominal masses 51, kidney 96, adrenal gland 3, spleen 1), thorax 90, musculoskeletal system 32, and brain 2. The accuracy varied with different locations. The accuracy of liver biopsy was 94%, kidney 95.8%, pancreatic and abdominal masses 88.2%, thorax 90%, and musculoskeletal system 96.5%. The occurrence rate of complications was 2.3%. Pneumothorax occurred in 7 patients having thorax biopsy, and gastric perforation in one patient after abdominal biopsy. The proper selection of fine needles, the method and technique, the influential elements of the accuracy, and the application of CT-guided aspiration biopsy were detailed in this paper.
对350例患者进行了CT引导下经皮细针穿刺活检。其中226例涉及腹部（肝脏75例、胰腺及腹部肿块51例、肾脏96例、肾上腺3例、脾脏1例），胸部90例，肌肉骨骼系统32例，脑部2例。准确率因不同部位而异。肝脏活检准确率为94%，肾脏为95.8%，胰腺及腹部肿块为88.2%，胸部为90%，肌肉骨骼系统为96.5%。并发症发生率为2.3%。7例胸部活检患者发生气胸，1例腹部活检后出现胃穿孔。本文详细介绍了细针的正确选择、方法和技术、影响准确率的因素以及CT引导下穿刺活检的应用。
