CAJ | 학술논문

评价CT定位穿刺引导器临床应用的效果.拟在CT引导下行双侧胸交感神经阻滞术或腰交感神经阻滞术的患者33例,性别不限,年龄16 ～ 76岁,体重46 ～ 80 kg.采用抛硬币法,随机选取其一侧采用CT定位穿刺引导器引导穿刺(引导法),另一侧采用CT引导常规穿刺(常规法).记录穿刺时间、穿刺次数、穿刺时针干与设定穿刺角度的偏差及穿刺相关并发症的发生情况.与常规法比较,引导法穿刺时间缩短,穿刺次数和穿刺时针干与设定穿刺角度的偏差降低(P＜ 0.01).所有患者成功完成穿刺,无血胸和气胸等并发症发生.
평개CT정위천자인도기림상응용적효과.의재CT인도하행쌍측흉교감신경조체술혹요교감신경조체술적환자33례,성별불한,년령16 ～ 76세,체중46 ～ 80 kg.채용포경폐법,수궤선취기일측채용CT정위천자인도기인도천자(인도법),령일측채용CT인도상규천자(상규법).기록천자시간、천자차수、천자시침간여설정천자각도적편차급천자상관병발증적발생정황.여상규법비교,인도법천자시간축단,천자차수화천자시침간여설정천자각도적편차강저(P＜ 0.01).소유환자성공완성천자,무혈흉화기흉등병발증발생.
We designed a locator for puncture under CT examination.Thirty-three patients of both sexesaged 16-76 yr weighing 46-80 kg undergoing bilateral thoracic or lumber sympathetic nerve block under CT examination were enrolled in this study.One side was punctured under the guidance of the locator,while the other side was punctured by conventional technique.The time consumed during puncture,CT scan adjusting time,the deviation of the needle from the targets and the incidence of puncture complications were recorded.The results showed that compared with the conventional technique,with the locator the time consumed during puncture was significantly shorter,the number of attempts and the deviation of the needle from the target were significantly reduced.The procedure was successfully performed on both side in all patients without serious complications such as hemothorax and pneumothorax.