CT-guided needle placement in the central nervous system: results in 146 consecutive patients.
CT-guided needle placement in the central nervous system: results in 146 consecutive patients.
复制标题
CT 引导下的中枢神经系统针置入：146 名连续患者的结果。
DOI：
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发表时间：
1984
期刊：
影响因子：
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通讯作者：
J. A. Marchoski
中科院分区：
文献类型：
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作者：
Christopher J. Moran;T. P. Naidich;J. A. Marchoski
作者介绍了他们对 146 名连续患者进行的 185 次计算机断层扫描 (CT) 引导置针手术的经验。使用导针器首次进入病灶的准确度为 100%；颅内脓肿引流成功率100%；颅内囊性病变（包括肿瘤囊肿）姑息减压成功率100%；对未知病变的组织学诊断准确率达 97%。 CT 引导下的抽吸活检纠正了临床上的错误诊断，并在所有活检病例中改变了 23% 的患者管理。并发症列表显示头皮感染、骨感染、肿瘤播散或感染播散的发生率为 0%；临床上不显着的术后出血发生率为 13.5%；严重术后出血导致死亡的发生率为 0.5%（仅一名患者）。在 22 例 192Ir 植入手术中，有 3 例观察到短暂性偏瘫，但在 163 例单独抽吸活检的手术中，没有观察到短暂性偏瘫。
The authors present their experiences with 185 computed tomography (CT)-guided needle placement procedures in 146 consecutive patients. There was 100% accuracy in first-pass entry into the lesion using a needle guide; 100% success in drainage of intracranial abscesses; 100% success in palliative decompression of intracranial cystic lesions including tumor cysts; and 97% accuracy in histologic diagnosis of unknown lesions. CT-guided aspiration biopsy corrected clinically incorrect diagnoses and altered patient management in 23% of all cases biopsied. Tabulation of complications revealed 0% incidence of scalp infection, bone infection, dissemination of tumor, or dissemination of infection; 13.5% incidence of clinically insignificant postprocedural bleeding; and 0.5% incidence of serious postprocedural hemorrhage leading to death (one patient only). Transient hemipareses were observed in three of 22 procedures for implantation of 192Ir but in none of 163 procedures for aspiration biopsy alone.
在计算机断层扫描中模拟肿瘤的非肿瘤性颅内病变。
DOI：
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发表时间：
1982
期刊：
JAMA : the journal of the American Medical Association
影响因子：
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作者：
Kandalaft,N;Diehl,J;Neuwelt,EA
通讯作者：
Neuwelt,EA