The Application Value of Multi-window Settings and Thrombin Solutions Injection in CT-guided Percutaneous Needle Lung Biopsy_West China Medical Journal

Authors：

YU Decai ¹ ,  ZHANG Yong ² , XU Shizong ¹ , JIANG Bo ¹ , HE Zhengtao ¹ , YU Wei ¹

1. Department of Radiology, Fushun Chenguang Hospital (The Third People’s Hospital of Fushun County), Zigong, Sichuan 643200, P. R. China; 2. Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;

Corresponding author：

ZHANG Yong, Email: 759740128@qq.com

Keywords：

CT引导; 肺疾病; 穿刺活检; 并发症

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目的　讨论多窗技术+凝血酶封闭在CT导向下经皮肺穿刺活检中的应用价值。方法　2009年6月－2010年3月收集分析由同一工作组连续完成的CT导向下肺穿刺活检患者共128例，其中A组58例，采用双窗技术+注射生理盐水；B组70例，采用多窗技术+注射凝血酶）。比较两组患者的诊断阳性率、气胸及肺出血发生率的差异。结果　128例均穿刺成功，A组的穿刺诊断阳性率、气胸发生率及肺出血发生率分别为87.9%、13.8%、17.5%。B组的穿刺诊断阳性率为92.9%，气胸发生率为8.6%，肺出血发生率为5.7%。两组穿刺诊断阳性率和气胸发生率的差异无统计学意义（P＞0.05）；B组肺出血的发生率均明显低于A组，两组间肺内出血的发生率差异有统计学意义（P＜0.05）。结论　多窗技术+凝血酶针道封闭技术能有助于减少气胸、肺出血等肺穿刺活术的并发症，具有重要的临床应用价值。

Citation： YU Decai,ZHANG Yong,XU Shizong,JIANG Bo,HE Zhengtao,YU Wei. The Application Value of Multi-window Settings and Thrombin Solutions Injection in CT-guided Percutaneous Needle Lung Biopsy. West China Medical Journal, 2012, 27(3): 382-385. doi: Copy

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12.	范跃星, 王锋, 张锦, 等. CT窗技术在急性胰腺炎诊断中的应用[J]. 临床放射学杂志, 2010, 29(5): 695-697.
13.	许泽兵, 翟昭华, 何菲, 等. CT引导下肺穿刺活检并发症的相关因素的logistic分析[J]. 川北医学院学报, 2011, 26(2): 167-171.

1. 　Gouliamos AD, Giannopoulos DH, Panagi GM, et al. CT-guided fine needle aspiration of peripheral lung opacities: an initial diagnostic procedure? [J]. Acta Cytol, 2000, 44(3): 344-348.
2. 　Wagnetz U, Menezes RJ, Boerner S, et al. CT screening for lung cancer: implication of lung biopsy recommendations[J]. Am J Roentgenol, 2012, 198(2): 351-358.
3. 　Nashed Z, Klein JS, Zarka MA. Special techniques in CT-guided transthoracic needle biopsy [J]. AJR Am J Roentgenol, 1998, 171(6): 1665-1668.
4. 　林杰, 杨汉丰, 李春平, 等. CT引导下经皮穿刺活检肺内小结节病灶的诊断价值[J]. 华西医学, 2008, 23(1): 57-58.
5. 　Priola AM, Priola SM, Cataldi A, et al. Accuracy of CT-guided transthoracic needle biopsy of lung lesions: factors affecting diagnostic yield [J]. Radiol Med (Torino), 2007, 112(8): 1142-1159.
6. 　Billich C, Muche R, Brenner G, et al. CT-guided lung biopsy: incidence of pneumothorax after instillation of NaCl into the biopsy track [J]. Eur Radiol, 2008, 18(6): 1146-1152.
7. 　Gupta S, Sultenfuss M, Romaguera JE, et al. CT-guided percutaneous lung biopsies in patients with haematologic malignancies and undiagnosed pulmonary lesions[J]. Hematol Oncol, 2010, 28(2): 75-81.
8. 　林杰, 杨汉丰, 任勇军. 应用生理盐水预防经皮肺穿刺活检中气胸发生的初探[J]. 放射学实践, 2009, 24(7): 795-797.
9. 　Tsai IC, Tsai WL, Chen MC, et al. CT-guided core biopsy of lung lesions: a primer [J]. AJR Am J Roentgenol, 2009, 193(5): 1228-1235.
10. 　钟涛, 于红光, 王勇, 等. CT引导下经皮肺穿刺活检术后气胸发生率的相关因素分析[J]. 中华放射学杂志, 2007, 41(11): 1232-1236.
11. 　张建伟, 许春苗. CT引导下经皮肺穿刺活检并发症的相关因素分析[J]. 放射学实践, 2007, 22(4): 398-400.
12. 　范跃星, 王锋, 张锦, 等. CT窗技术在急性胰腺炎诊断中的应用[J]. 临床放射学杂志, 2010, 29(5): 695-697.
13. 　许泽兵, 翟昭华, 何菲, 等. CT引导下肺穿刺活检并发症的相关因素的logistic分析[J]. 川北医学院学报, 2011, 26(2): 167-171.

West China Medical Journal

The Application Value of Multi-window Settings and Thrombin Solutions Injection in CT-guided Percutaneous Needle Lung Biopsy

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