Serres-Cousine O, Senac J P, Marty-Ane C, Giron J, Haget C, Callede O, Bousquet C, Vernhet H
Service de Radiologie, CHU Arnaud-de-Villeneuve, Montpellier.
Ann Radiol (Paris). 1994;37(3):177-87.
The authors review the various thoracic interventional radiology techniques currently used by a medicoradiosurgical team. CT-guided needle biopsy has an important place in the diagnostic approach to parenchymal as well as mediastinal and pleuroparietal tumours. CT also allows drainage of various thoracic collections. Embolizations of bronchial arterial haemoptyses, pulmonary arteriovenous aneurysms or post-catheterisation false aneurysms are effective therapeutic procedures. Percutaneous extraction of foreign bodies generally avoids the need for open surgery. Superior vena cava and tracheobronchial stents are palliative treatments allowing a better quality of survival in patients with superior vena cava compression. CT-guided sympatholysis and in situ fibrinolysis have certain specific indications in pulmonary embolism.
作者回顾了目前医疗放射外科团队所使用的各种胸部介入放射学技术。CT引导下针吸活检在实质性以及纵隔和胸膜壁层肿瘤的诊断方法中占有重要地位。CT还可用于各种胸部积液的引流。支气管动脉咯血、肺动静脉瘤或导管插入术后假性动脉瘤的栓塞是有效的治疗手段。经皮取出异物通常可避免进行开放手术。上腔静脉和气管支气管支架是姑息性治疗方法，可提高上腔静脉受压患者的生存质量。CT引导下交感神经阻滞和原位纤维蛋白溶解在肺栓塞中有某些特定的适应证。
