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本文报告了124例身体各部位病变 CT 导引下针吸活检,包括腹部51例、胸部50例、盆腔7例,其它部位16例;病变包括肿瘤67例、脓肿27例、腹及胸腔积液30例。同时还对其中胸部及肝脏脓肿进行了治疗,即行脓肿抽吸引流。本文着重讨论了 CT 导引下穿刺活检的诊断意义及治疗意义。本组穿刺总准确率为85.1%,其中腹部87.5%,胸部79.2%,其它部位90%,假阴性13.4%。除胸部穿刺出现胸痛、气胸及咯血痰各1例外,发生严重并发症。认为 CT 导引下穿刺活检较 B 超及普通 X 线导引准确性高、安全性大、并发症少,是对疑难及不典型病例的补充诊断手段之一。
In this paper, 124 cases of needle biopsy under CT guidance were reported, including 51 cases of abdomen, 50 cases of chest, 7 cases of pelvic and 16 cases of other parts. The lesions included 67 cases of tumor, 27 cases of abscess, 30 cases. At the same time also for chest and liver abscess were treated, that abscess suction drainage. This article focuses on the CT guided biopsy diagnostic significance and therapeutic significance. The total puncture accuracy of 85.1%, of which 87.5% abdomen, chest, 79.2%, 90% of other parts, false negative 13.4%. In addition to chest puncture chest pain, pneumothorax and hemoptysis sputum of 1 exception, the occurrence of serious complications. It is considered that CT guided biopsy is more accurate and safe than B-mode and conventional X-ray guidance and is one of the supplementary diagnostic methods for difficult and atypical cases.