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CT引导下气管前腔静脉后间隙病变穿刺活检术的应用价值
郭彦璞1, 董鑫2, 赵亚波2
1.濮阳市人民医院;2.河南省濮阳市人民医院
摘要:
探讨CT引导下气管前腔静脉后间隙病变穿刺活检术的应用价值。选择2016年3月至2018年3月本院行CT引导下气管前腔静脉后间隙病变穿刺活检术患者52例的资料进行分析,通过CT平扫和短期随访等,观察患者并发症发生情况,结合细胞病理学和组织学检查评估活检术的应用价值。52例首次穿刺成功率为98.07%,其中3例取得标本组织太细碎,并发症发生率为13.46%。CT引导下气管前腔静脉后间隙病变穿刺活检术,具有安全性高和准确性高优势,但操作者应熟悉气管前腔静脉后解剖结构及患者的影像资料,以进一步确保安全。
关键词:  CT引导  气管前腔静脉后间隙  病变  穿刺活检术
DOI:10.11851/j.issn.1673-1557.2019.06.010
分类号:
基金项目:
Application value of CT-guided percutaneous puncture biopsy for lesions in pretracheal retrocaval space
Guo Yanpu,Dong Xin,Zhao Yabo
河南省濮阳市人民医院
Abstract:
To evaluate the value of CT-guided percutaneous biopsy for lesions in pretracheal retrocaval space The data of 52 patients who underwent CT-guided puncture biopsy for lesions in pretracheal retrocaval space was analyzed from March 2016 to March 2018 Complications were observed by using CT plain scan combined with short-term follow-up The application value of biopsy was evaluated by cytopathology and histology The success rate of the first puncture was 98.07% in 52 cases; of 3 cases, specimens were too fine and fragmented; the complication rate was 13.46% CT-guided percutaneous biopsy for lesions in pretracheal retrocaval space has the advantages of high safety and accuracy However, operators should be familiar with the anatomical structure of pretracheal retrocaval space as well as the image data of patients, so as to further ensure the safety
Key words:  CT-guided  retracheal retrocaval space  lesions  puncture biopsy
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