| 刘君,赵艳军,张雷,刘妍,李薇.CT联合实时超声引导经皮穿刺活检胸膜或胸膜下结节[J].中国医学影像技术,2019,35(12):1837~1841 |
| CT联合实时超声引导经皮穿刺活检胸膜或胸膜下结节 |
| CT combined with real-time ultrasound for guiding percutaneous biopsy of pleural or subpleural nodule |
| 投稿时间：2019-03-19 修订日期：2019-11-10 |
| DOI：10.13929/j.1003-3289.201903228 |
| 中文关键词: 胸膜肿瘤 体层摄影术,X线计算机 超声检查 |
| 英文关键词:pleural neoplasms tomography, X-ray computed ultrasonography |
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| 中文摘要: |
| 目的 探讨CT联合实时超声引导穿刺活检胸膜或胸膜下结节（SPPN）的可行性。方法 回顾性分析接受经皮穿活检的38例SPPN患者，其中17例接受CT联合超声引导下活检（CT+US组），21例接受单纯CT引导活检（CT组），比较2组穿刺活检手术时间、占机时间、CT引导次数、有效辐射剂量及术后并发症。结果 CT+US组CT引导次数、手术时间、占机时间、有效辐射剂量和总剂量均低于CT组（P均<0.01），2组术后发生气胸、出血差异均无统计学意义（P均>0.05）。结论 CT联合实时超声引导穿刺活检SPPN可降低穿刺技术难度，缩短手术时间，减少辐射剂量。 |
| 英文摘要: |
| Objective To explore the feasibility of CT combined with real-time ultrasound for guiding percutaneous needle biopsy of small pleural or peripleural nodule (SPPN). Methods Data of 38 patients with SPPN who underwent percutaneous biopsy were retrospectively analyzed, including 17 patients underwent CT combined with ultrasound-guided biopsy (CT+US group) and 21 patients underwent CT-guided biopsy (CT group). The operation time, occupation time, the number of CT guidance, effective radiation dose generated by CT scan and postoperative complications were compared between 2 groups. Results Compared with those of CT group, the number of CT guidance, operation time, occupation time and effective radiation dose in CT+US group were lower (all P <0.01). There was no significant difference of pneumothorax nor hemorrhage between 2 groups (both P>0.05). Conclusion CT combined with real-time ultrasound guidance can reduce the technical difficulty of puncture, shorten the operation time and reduce radiation dose during percutaneous needle biopsy of SPPN. |
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