摘要
目的 探讨CT引导下经皮肺穿刺活检并发症的影响因素及处理方法。方法 回顾性分析253例CT引导下经皮肺穿刺活检并发症的影响因素及相应处理方法。结果 253例中,77例(77/253,30.43%)肺出血,包括4例(4/77,5.19%)大量出血,有无肺出血患者的病变位置、病灶大小、穿刺深度、取材数量差异均有统计学意义( P 均<0.05);55例(55/253,21.74%)发生气胸,其中5例接受胸腔闭式引流,有无气胸患者的病变位置、病灶大小、取材数量差异均有统计学意义( P 均<0.05)。结论 CT引导下经皮肺穿刺活检后肺出血的影响因素为病变位置、病灶大小、穿刺深度及取材数量,气胸的影响因素为病变位置、大小及取材数量,均可预防、可处理。
Objective To investigate the impact factors and treatment of complications of CT-guided percutaneous lung biopsy. Methods Complications of 253 cases of CT-guided percutaneous lung biopsy were retrospectively analyzed, and the impact factors of complications and the corresponding treatment methods were reviewed. Results Among 253 cases, pulmonary hemorrhage was detected in 77 cases (77/253, 30.43%), including 4 cases (4/77, 5.19%) of massive hemorrhage. There were significant differences of lesions' location, size, puncture depth and number of samples between patients with and without pulmonary hemorrhage (all P <0.05). Pneumothorax occured in 55 cases (55/253, 21.74%), including 5 cases underwent closed thoracic drainage. There were significant differences of lesions' location, size and number of samples between patients with and without pneumothorax (all P <0.05). Conclusion For CT-guided percutaneous lung biopsy, lesions' location, size, puncture depth and number of samples are the impact factors of pulmonary hemorrhage, while lesions' location, size and number of samples are impact factors of pneumothorax. The occurrence of pulmonary hemorrhage and pneumothorax can be prevented and treated.
作者
王东旭
张啸波
肖越勇
张肖
王余广
WANG Dongxu;ZHANG Xiaobo;XIAO Yueyong;ZHANG Xiao;WANG Yuguang(Department of CT, the Second Affiliated Hospital of Qiqihar Medical College, Qiqihar 161006, China;Department of Radiology, First Medical Center of Chinese PLAGeneral Hospital, Beijing 100853, China)
出处
《中国介入影像与治疗学》
北大核心
2019年第9期522-526,共5页
Chinese Journal of Interventional Imaging and Therapy
基金
齐齐哈尔医学院院内科研基金(QY2016M-15)
