CT精确引导三维立体全身穿刺定位装置的临床应用研究

摘要

Objective: To evaluate the clinical application of puncture positioning frame guided by three-dimensional CT in tumor puncture.Method: 100 patients with placeholder disease diagnosed by CT, who need to make a definite diagnosis by puncture guided by CT or local treatment, randomly divided into two groups. The observation group used puncture positioning frame guided by three-dimensional CT, the control group chose traditional puncture method guided by CT.Result: The success rate of puncture by one-time of the observation group was 94%, and that of the control group was 52%. The incidence of bleeding of the observation group was 2%, and that of the control group was 14%. The infection rates of the control group was 12%, and there was no infection in the observation group. The incidence of pneumothorax was 4% in the observation group, but the control group was 32%. The difference was statistically significance between the two groups.Conclusion: The puncture positioning frame designs is of novel, high precision, high success rate and shorter puncture time. It has low complication and is worth promoting in clinical.%目的：探讨CT精确引导三维立体全身穿刺定位装置在临床肿瘤穿刺操作中的应用。方法：将CT诊断为占位病变并需要CT引导下进行穿刺明确诊断或者局部治疗的患者100例按随机数字表法分为观察组和对照组，每组各50例，观察组采用CT精确引导三维立体全身穿刺定位装置引导穿刺，对照组采用传统的CT引导下徒手穿刺。结果：观察组一次性穿刺成功率为94%，对照组为52%；观察组出血发生率2%，对照组14%；观察组未发生感染，对照组感染率12%；观察组气胸发生率4%，对照组气胸发生率32%；两组比较，差异均有统计学意义（P<0.05）。结论：CT精确引导三维立体全身穿刺定位装置设计先进，操作简单，三维立体适应范围广，全身应用，一次穿刺成功率高，从而降低了并发症发生率，适合基层医院使用，值得推广。