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《Chinese Journal of Interventional Imaging and Therapy》 2015-04
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Opposite position for aspiration in treatment of pneumothorax following CT-guided lung biopsy

ZENG Li-chuan;DU Yong;YANG Han-feng;XU Xiao-xue;XIE Ming-guo;ZHANG Yu-dong;LI Li;WANG Qu;HU Lin;LIAO Hua-qiang;Department of Radiology,Teaching Hospital of Chengdu University of T.C.M;CT Intervention Division,Affiliated Hospital of North Sichuan Medical College;Department of Ultrasound,Teaching Hospital of Chengdu University of T.C.M;  
Objective To evaluate the efficacy of opposite position for aspiration in treatment of pneumothorax following CT-guided lung biopsy.Methods Totally 102 pneumothorax patients who had undergone CT-guided percutaneous core biopsies were enrolled.The efficacy of simple manual aspiration and using the opposite position for aspiration were observed.Results All of those patients were treated with simple aspiration firstly and 72patients(72/102,70.59%)were effective.The cases of complete regression and partial regression were 18,54 respectively.In the other 30patients(30/102,29.41%),simple aspiration was ineffective.An opposite position(from prone to supine or vice versa)was applied to perform another aspiration and 8patients were complete regression and 20 were partial regression.Two cases underwent chest tube placement.Applying the improved method,the total effective rate of 70.59%(72/102)were elevated to 98.04%(100/102).Conclusion Using the opposite position for aspiration could be effective in treatment for pneumothorax following CT-guided lung biopsy,and it can reduce the use of chest tube especially in persistent pneumothorax.It is a safe and effective minimally invasive treatment for pneumothorax.
【Fund】: 国家自然科学基金(81141067)
【CateGory Index】: R563;R816.41
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