螺旋CT引导下经皮肺穿刺气胸发生率的分析  

The Factor Analysis of the Incidence of Pneumothorax after Spiral CT-guided Percutaneous Lung Biopsy

作　　者：黄永翠 高斌 贺克武 胡永胜 巢惠民 

机构地区：[1]安徽医科大学第三附属医院影像中心,230061

出　　处：《临床放射学杂志》2010年第8期1105-1106,共2页Journal of Clinical Radiology

摘　　要：目的分析影响螺旋CT引导下经皮肺穿刺气胸发生率的因素。资料与方法搜集2006年11月至2009年8月行螺旋CT引导下经皮肺穿刺者68例,分析其气胸发生的相关因素并进行统计学分析。结果 68例中,少量气胸10例(14.7%),大量气胸3例(4%)(一侧肺压缩60%以上),咳血2例(3%),余53例无症状或有轻微胸痛。气胸的发生与病灶的大小、深度、肺气肿、穿刺针的粗细及穿刺次数有相关性。结论对位置较深的肺内小病灶进行穿刺时如合并有肺气肿,术前应充分考虑到发生气胸的可能性较大,选用细穿刺针及减少穿刺次数可降低气胸的发生率。Objective To analyze the factor on the incidence of pneumothorax associated with spiral CT-guided percutaneous lung puncture biopsy. Materials and Methods 68 percutaneous biopsies were done for pulmonary lesions from November, 2006 to August, 2009,and then the related factors of pneumothorax were analyzed statistically. Results A small amount of pneumothorax in 10 cases of 68 patients,accounting for 17%,a large number of pneumothorax in 3 cases,accounting for 4%,（the side of the lung compression than 60%）.Lesion size,depth,emphysema,diameter of puncture needle and puncture frequency are relevant with pneumothorax occurrence. Conclusion To reduce the incidence of pneumothorax,the possibility of pneumothorax should be fully taken into account before operation when patients with small deep pulmonary lesions merger with emphysemas,select of thin needle puncture as well as reduce number of times of biopsies were necessary.

关 键 词：气胸 体层摄影术 X线计算机 并发症 介入性 

分 类 号：R814.42[医药卫生—影像医学与核医学]