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纵隔病变的定性诊断对指导临床治疗有重要价值,而CT导引下的纵膈穿刺活检是获得 病变组织学诊断的重要手段之一;笔者回顾分析了20例CT导引下的纵隔穿刺活检,重点讨论该项技术的技术特点及临床价值。 材料和方法 本组20例中,男14例,女6例,年龄15～74岁,平均44.1岁;病变分布:前上纵隔9例,前中纵隔5例,后纵隔6例,病变大小为1.5×1.8cm~2～7×8.5cm~2大小;穿刺途径:左胸骨旁8例,右胸骨旁5例,左胸椎旁2例,右胸旁5例,全部活检均在CT导引下进行,使用CT机型为岛津SCT3000。
The qualitative diagnosis of mediastinal lesions has important value in guiding the clinical treatment, while the CT guided mediastinal puncture biopsy is one of the important means to obtain the histological diagnosis of the lesion. The author retrospectively analyzed 20 cases of CT guided mediastinal biopsy, Focus on the technical characteristics of the technology and clinical value. Materials and Methods The group of 20 patients, 14 males and 6 females, aged 15 to 74 years, mean 44.1 years; lesion distribution: anterior superior mediastinum in 9 cases, anterior mediastinal in 5 cases, posterior mediastinum in 6 cases, the lesion size 1.5 × 1.8cm ~ 2 ~ 7 × 8.5cm ~ 2. The approach of puncture was: left sternum in 8 cases, right sternum in 5 cases, left thoracic in 2 cases and right thoracic in 5 cases. All biopsies were performed under CT guidance To carry out the use of CT models Shimadzu SCT3000.