Moran C J, Naidich T P, Marchoski J A
AJR Am J Roentgenol. 1984 Oct;143(4):861-8. doi: 10.2214/ajr.143.4.861.
The authors present their experiences with 185 computed tomography (CT)-guided needle placement procedures in 146 consecutive patients. There was 100% accuracy in first-pass entry into the lesion using a needle guide; 100% success in drainage of intracranial abscesses; 100% success in palliative decompression of intracranial cystic lesions including tumor cysts; and 97% accuracy in histologic diagnosis of unknown lesions. CT-guided aspiration biopsy corrected clinically incorrect diagnoses and altered patient management in 23% of all cases biopsied. Tabulation of complications revealed 0% incidence of scalp infection, bone infection, dissemination of tumor, or dissemination of infection; 13.5% incidence of clinically insignificant postprocedural bleeding; and 0.5% incidence of serious postprocedural hemorrhage leading to death (one patient only). Transient hemipareses were observed in three of 22 procedures for implantation of 192Ir but in none of 163 procedures for aspiration biopsy alone.
作者介绍了他们对146例连续患者进行185次计算机断层扫描（CT）引导下针穿刺置管操作的经验。使用针引导器首次穿刺进入病变的准确率为100%；颅内脓肿引流成功率为100%；包括肿瘤囊肿在内的颅内囊性病变姑息性减压成功率为100%；未知病变组织学诊断准确率为97%。CT引导下细针穿刺活检纠正了23%活检病例中临床上的错误诊断并改变了患者的治疗方案。并发症列表显示，头皮感染、骨感染、肿瘤播散或感染播散的发生率为0%；术后临床上无显著意义的出血发生率为13.5%；严重术后出血导致死亡的发生率为0.5%（仅1例患者）。在22例192Ir植入操作中有3例观察到短暂性偏瘫，但单纯细针穿刺活检的163例操作中均未观察到。
