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对位于膈肌附近的肝脏病变,传统的活检方法是在影像学引导下进行,避免穿透胸膜以造成气胸。此类方法费时、操作困难、发生并发症的危险性大,而且时常不成功。作者复习了4年间采用CT引导经肺肝活检的14例患者,男9例,女5例,年龄46～93岁。住院患者4例,门诊10例。病变大小1.5～5.0cm,平均3.1cm,以右叶上部为多。进针部位11例在外侧或前外侧,2例在前侧,1例为后侧。活检体位9例为仰卧
The liver lesions located near the diaphragm, the traditional biopsy method is under the guidance of imaging, to avoid penetrating the pleura to cause pneumothorax. Such methods are time consuming, difficult to operate, dangerous to occur and often unsuccessful. The authors reviewed 14 patients who underwent CT guided lung biopsy in 4 years, 9 males and 5 females, aged 46-93 years. Inpatients in 4 cases, outpatient 10 cases. Lesions size 1.5 ~ 5.0cm, an average of 3.1cm, to the upper part of the right lobe. Eleven patients had lateral or anterolateral needle insertion, two anterior and one posterior. Nine cases of biopsy supine