摘要
目的对影响CT引导下经皮肺穿刺并发气胸的因素进行观察和分析。方法选择2018年6月—2018年12月在医院进行了经皮肺穿刺的60例患者为对象,对其临床治疗的资料进行分析和整理。结果在两组患者之中,并发气胸组患者病灶直径<3cm患者发生气胸的概率显著高于≥3cm的患者,病灶距离胸壁距离≥2cm的患者出现气胸的概率显著高于<2cm患者,病灶位置位于肺下叶者出现气胸的概率显著高于病灶位置处于上、中叶的患者,P<0.05,差异有统计学意义。肺气肿、病灶直径<3cm以及病灶位置位于肺下叶均为这一疾病的独立危险因素,P<0.05,差异有统计学意义。结论病灶直径<3cm、病灶距离胸壁距离≥2cm以及病灶位置位于肺下叶的患者极易出现CT引导下经皮肺穿刺并发气胸疾病。
Objective To observe and analyze the factors affecting percutaneous lung puncture and pneumothorax guided by CT. Methods Sixty patients who underwent percutaneous lung puncture in the hospital from June 2018 to December 2018 were selected as objects. The clinical treatment data were analyzed and collected. Results Among the two groups of patients, the probability of pneumothorax in patients with cyanotic diameter < 3 cm was significantly higher than that in patients with greater or equal to 3 cm. The probability of pneumothorax in patients with lesions greater or equal to 2 cm from chest wall was significantly higher than that in patients with < 2 cm. The probability of pneumothorax in the lower lobe is significantly higher than in the upper and middle lobe. P < 0.05, the difference was statistically significant. Emphysema, lesions less than 3 cm in diameter, and lesion location in the lower lobe of the lung were independent risk factors for this disease. P < 0.05, the difference was statistically significant. Conclusion Patients with a lesion size less than 3 cm, a lesion distance of greater or equal to 2 cm from the chest wall, and a lesion located in the lower lobe of the lung are prone to CT-guided percutaneous lung puncture and pneumothorax.
作者
金惠
JIN Hui(Department of Respiratory Medicine,First People's Hospital of Zhenjiang,Zhenjiang Jiangsu 212001,China)
出处
《中国继续医学教育》
2019年第19期82-84,共3页
China Continuing Medical Education
关键词
CT引导
经皮肺穿刺
患者
气胸
并发
影响
因素
CT guidance
percutaneous lung puncture
patient
pneumothorax
concurrent
influence
factor
