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目的:探讨CT导向经皮穿刺活检及介入治疗的临床价值。方法:使用进口半自动穿刺活检针、引流穿刺针、自制锥颅针等,在CT导向下进行82例针吸、切割活检和介入治疗。结果:经皮穿刺活检37例,其中胸部30例(肺癌20例,肺炎性肿块3例,肺脓肿3例,肺结核3例,陈旧性肺血肿1例),腹部6例(肝癌2例,肝脓肿2例,肾癌1例,肾囊肿1例),脑部1例(脑转移癌)。介入治疗45例次,包括颅内血肿抽吸引流36例(高血压脑出血型30例,外伤性基底节区巨大血肿2例,亚急性或慢性硬脉下血肿4例),肝脓肿抽吸引流2例,肝癌无水乙醇固化治疗1例,肝、肾囊肿固化治疗5例,囊性脑转移瘤注药引流1例。经手术、细胞学检查、随访证实:穿刺成功率94.6%,治疗有效率91.1%。结论:CT导向经皮穿活检及介入治疗是一种简便、可靠、安全、损伤小、疗效肯定的诊断和治疗方法,对临床诊断和治疗有重要价值。
Objective: To investigate the clinical value of CT guided percutaneous biopsy and interventional therapy. Methods: Using imported semi-automatic biopsy needle, drainage needle, self-made cranial needle and so on, guided by CT in 82 cases of needle aspiration, biopsy and interventional treatment. Results: Percutaneous biopsy in 37 cases, including 30 cases of chest (lung cancer in 20 cases, 3 cases of lung inflammation, lung abscess in 3 cases, tuberculosis in 3 cases, old pulmonary hematoma in 1 case), abdomen in 6 cases (liver cancer in 2 cases, liver 2 cases of abscess, 1 case of renal cell carcinoma, 1 case of renal cyst), 1 case of brain (brain metastases). Interventional treatment of 45 cases, including intracranial hematoma aspiration drainage in 36 cases (30 cases of hypertensive intracerebral hemorrhage, traumatic massive hematoma in basal ganglia in 2 cases, subacute or chronic hard-dural hematoma in 4 cases), liver abscess suction Drainage in 2 cases, 1 case of liver cancer with ethanol solidification, 5 cases of liver and renal cyst solidification, 1 case of cystic brain metastasis. After surgery, cytology, follow-up confirmed: puncture success rate of 94.6%, the effective rate of 91.1%. Conclusion: CT guided percutaneous biopsy and interventional treatment are simple, reliable, safe, small injury and definite therapeutic and diagnostic methods, which are of great value to clinical diagnosis and treatment.