CAJ | 학술논문

目的：探讨凸阵探头加用穿刺架在超声实时引导穿刺中的应用价值。方法：对101例进行超声实时引导穿刺患者的检查、治疗结果进行分析。结果：60例中进行活组织检查的患者引导穿刺后58例未出现明显不适感，2例肾穿刺12 h后出现右肾周局限性血肿。15例肾囊肿患者在进行治疗性穿刺后2例出现轻微疼痛感，后自行消退；8例胸腔积液及9例肝内胆管患者在穿刺置管术后2例出现低烧，后自动恢复。101例进行引导穿刺的患者中1针到位的比例高达86.14%。101例患者针尖显示率高达100%，取材成功率为100%，一次性成功率高达98.02%。60例进行活组织检查的患者检查敏感性为93.33%。41例患者39例经穿刺治疗后均治愈，治愈率为95.12%；肝内胆管置管引流术后黄疸明显减退或消失。结论：普通凸阵探头加用穿刺架用于实时引导穿刺，实用、安全性高、敏感性佳。
목적：탐토철진탐두가용천자가재초성실시인도천자중적응용개치。방법：대101례진행초성실시인도천자환자적검사、치료결과진행분석。결과：60례중진행활조직검사적환자인도천자후58례미출현명현불괄감，2례신천자12 h후출현우신주국한성혈종。15례신낭종환자재진행치료성천자후2례출현경미동통감，후자행소퇴；8례흉강적액급9례간내담관환자재천자치관술후2례출현저소，후자동회복。101례진행인도천자적환자중1침도위적비례고체86.14%。101례환자침첨현시솔고체100%，취재성공솔위100%，일차성성공솔고체98.02%。60례진행활조직검사적환자검사민감성위93.33%。41례환자39례경천자치료후균치유，치유솔위95.12%；간내담관치관인류술후황달명현감퇴혹소실。결론：보통철진탐두가용천자가용우실시인도천자，실용、안전성고、민감성가。
Objective:To study value of convex array probe combined with puncture frame in real-time ultrasound guided puncture.Method:Biopsy examination,treatment results of 101 patients with real time ultrasound guided were analyzed.Result:58 cases of 60 cases for biopsy guided puncture after did not show obvious discomfort or complications after piercing and 2 cases of renal puncture weeks limitations right kidney hematoma after 12 hours.15 patients with renal cyst in 2 cases after puncture had therapeutic mild pain,spontaneous regression.In 8 cases of patients with pleural effusion and 9 cases of intrahepatic bile ducts 2 cases after postoperative puncture catheter showed fever,then automatic recovery.The proportion of 1 guided place puncture needles in 101 patients was as high as 86.14%.101 patients’needle point showing rate was as high as 100%,and the success rate was 100%,and the one-time success rate as high as 98.02%. Sensitivity of 60 cases of the examination of the biopsy in patients was 93.33%.39 cases of 41 cases after treatment with puncture were cured,and the cure rate was 95.12%.Intrahepatic bile duct jaundice decreased significantly after catheter drainage or disappear.Conclusion:General convex array probe combined with puncture frame for real-time guided puncture is practical,and has high safety,good sensitivity.