Exploration of Puncture and Injection under CT-guided for Multi-drug Resistant Cavitary Pulmonary Tuberculosis
- VernacularTitle:CT定位下耐多药空洞型肺结核穿刺注药术探讨
- Author:
Kui TIAN
;
Lixin QIN
;
Jinlu SHA
- Publication Type:Journal Article
- Keywords:
lung;
cavitary pulmonary tuberculosis;
multi-drug resistance;
CT guidance;
interventional radiology
- From:
Journal of Practical Radiology
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the technique and clinical value of percutaneous lung puncture and injection of drug under CT-guided in the treatment of multi-drug resistant cavitary pulmonary tuberculosis(MDR-TB).Methods 84 patients of positive sputum smear with MDR-TB were undergone injecting drugs into the pulmonary cavities by percutaneous lung puncture under CT-guided.The treatments were carried out by self-made locating mark which could confirm the appropriate puncture point,puncture angle and the puncture line.Results The operations of puncture in all cases were successful,the complications included pneumothorax in 3 cases,pulmonary hemorrhage in 1 case and subcutaneous emphysema in 1 case.After treatment,the mean rate of sputum negative,improvement of pulmonary cavity and cavity closure was 91.7%,89.3% and 66.7% respectively.Conclusion The percutaneous pulmonary puncture and injection of drug under CT-guided was a simple,visualized,right localization and less complications method in the treatment of the MDR-TB.
