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目的探讨采用与活检相反体位穿刺抽气对治疗CT引导下肺穿刺活检并发气胸的意义。方法收集CT引导下经皮肺穿刺活检术后并发气胸并接受抽气治疗的102例患者,观察比较单纯抽气与单纯抽气+与活检相反体位穿刺抽气对治疗肺穿刺术后并发气胸的效果。结果 102例接受单纯抽气治疗的患者中,72例(72/102,70.59%)患者单纯抽吸治疗有效,其中18例完全缓解,54例部分缓解;30例(30/102,29.41%)单纯抽气无效,采用与活检相反体后穿刺抽气,其中8例完全缓解,20例部分缓解,2例患者抽气治疗失败而转采用胸腔置管术;改进抽气治疗方法后,抽气治疗气胸总有效率由70.59%(72/102)上升至98.04%(100/102)。结论采用单纯抽气+与活检相反体位穿刺抽气可以有效治疗CT引导下肺穿刺活检术后发生的气胸,从而减少使用胸腔置管术,为一种安全、有效的气胸微创处理方法。
Objective To explore the significance of using biopsy on the opposite side of the body aspiration to treat pneumothorax by CT-guided lung biopsy. Methods A total of 102 patients with pneumothorax and pneumothorax after percutaneous pulmonary biopsy under CT guidance were enrolled in this study. Observe and compare the effect of simple aspiration, simple aspiration and biopsy aspiration on the pneumothorax effect. Results Among the 102 patients who underwent simple aspiration, 72 patients (72/102, 70.59%) were treated by simple aspiration, of which 18 were completely relieved and 54 were partly relieved. Thirty (30/102, 29.41% Simple suction invalid, with biopsy opposite body puncture aspiration, of which 8 cases of complete remission, 20 cases of partial remission, 2 patients failed to switch to suction treatment and thoracic tube catheterization; improved suction therapy, the exhaust The total effective rate of pneumothorax was increased from 70.59% (72/102) to 98.04% (100/102). Conclusions It is a safe and effective minimally invasive treatment of pneumothorax by using pure aspiration + opposite biopsy to puncture aspiration for the treatment of pneumothorax after CT guided pulmonary biopsy.