介入放射学杂志
介入放射學雜誌
개입방사학잡지
JOURNAL OF INTERVENTIONAL RADIOLOGY
2015年
5期
438-441
,共4页
刘健%刘瑞青%曹会存%王振豫%曹广劭%刘诗义%李天晓
劉健%劉瑞青%曹會存%王振豫%曹廣劭%劉詩義%李天曉
류건%류서청%조회존%왕진예%조엄소%류시의%리천효
颅脑病变%穿刺活检%CT引导技术
顱腦病變%穿刺活檢%CT引導技術
로뇌병변%천자활검%CT인도기술
craniocerebral lesion%puncture biopsy%CT-guided technique
目的:探讨CT引导下颅脑占位穿刺活检术对神经系统疾病的诊断意义及安全性。方法2013年4月至2014年6月行CT引导下行颅脑占位穿刺活检术共23例。所有患者均具有神经系统临床症状或体征,影像学检查提示颅内占位。 CT引导下颅脑占位穿刺活检术行病理学或细菌学检查,对其结果进行分析。结果本组患者中明确病理诊断19例,活检阳性诊断率82.6%(19/23)。其中14例(60.9%)获得肿瘤学病理诊断,主要包括脑胶质瘤、非霍奇金淋巴瘤、胚胎发育不良性神经上皮肿瘤、脉络丛乳头状肿瘤、表皮样囊肿等;5例(21.7%)为非肿瘤性病变,包括脓肿、脑胶质细胞增生症、脑毛细血管扩张症等。活检穿刺术后少量血肿者1例(4.3%),本组病例穿刺活检术后无颅内感染、癫痫等并发症。结论 CT引导下脑穿刺活检术创伤小,并发症少,可以为颅脑病变提供明确病理学诊断,是一种具有较广阔应用前景的技术。
目的:探討CT引導下顱腦佔位穿刺活檢術對神經繫統疾病的診斷意義及安全性。方法2013年4月至2014年6月行CT引導下行顱腦佔位穿刺活檢術共23例。所有患者均具有神經繫統臨床癥狀或體徵,影像學檢查提示顱內佔位。 CT引導下顱腦佔位穿刺活檢術行病理學或細菌學檢查,對其結果進行分析。結果本組患者中明確病理診斷19例,活檢暘性診斷率82.6%(19/23)。其中14例(60.9%)穫得腫瘤學病理診斷,主要包括腦膠質瘤、非霍奇金淋巴瘤、胚胎髮育不良性神經上皮腫瘤、脈絡叢乳頭狀腫瘤、錶皮樣囊腫等;5例(21.7%)為非腫瘤性病變,包括膿腫、腦膠質細胞增生癥、腦毛細血管擴張癥等。活檢穿刺術後少量血腫者1例(4.3%),本組病例穿刺活檢術後無顱內感染、癲癇等併髮癥。結論 CT引導下腦穿刺活檢術創傷小,併髮癥少,可以為顱腦病變提供明確病理學診斷,是一種具有較廣闊應用前景的技術。
목적:탐토CT인도하로뇌점위천자활검술대신경계통질병적진단의의급안전성。방법2013년4월지2014년6월행CT인도하행로뇌점위천자활검술공23례。소유환자균구유신경계통림상증상혹체정,영상학검사제시로내점위。 CT인도하로뇌점위천자활검술행병이학혹세균학검사,대기결과진행분석。결과본조환자중명학병리진단19례,활검양성진단솔82.6%(19/23)。기중14례(60.9%)획득종류학병리진단,주요포괄뇌효질류、비곽기금림파류、배태발육불량성신경상피종류、맥락총유두상종류、표피양낭종등;5례(21.7%)위비종류성병변,포괄농종、뇌효질세포증생증、뇌모세혈관확장증등。활검천자술후소량혈종자1례(4.3%),본조병례천자활검술후무로내감염、전간등병발증。결론 CT인도하뇌천자활검술창상소,병발증소,가이위로뇌병변제공명학병이학진단,시일충구유교엄활응용전경적기술。
Objective To investigate the diagnostic value of CT-guided craniocerebral puncture biopsy, and to discuss its clinical safety. Methods During the period from April 2013 to June 2014 at authors’ hospital CT-guided craniocerebral puncture biopsy was carried out in 23 patients. All patients had clinical symptoms or signs of nervous system. Imaging examination revealed that all patients had intracranial space-occupying lesions. CT-guided craniocerebral puncture biopsy was performed to make pathological or bacteriological examinations. The results were statistically analyzed. Results In this group of patients, definite pathological diagnosis was made in 19 cases, biopsy positive diagnosis rate of biopsy was 82.6% (19/23), among them oncology-pathological diagnosis was obtained in 14 cases (60.9%), mainly including glioma, non-Hodgkin lymphoma, dysembryoplastic neuroepithelial tumor, choroid plexus papillary tumor, epidermoid cyst, etc. Non-neoplastic lesion was confirmed in 5 cases (21.7%), including suppurated meningitis, cerebral gliosis hyperplasia, cerebral telangiectasis, etc. Small amount of subdural hemorrhage was observed in one case (4.3%). No severe complications, such as intracranial infection or epilepsy, occurred in all patients. Conclusion CT-guided craniocerebral puncture biopsy is minimally-invasive with fewer complications, it can provide definite diagnosis for intracranial lesions, therefore, this technique has a broad development prospect in clinical practice.