CT引导经皮肺穿刺活检术应用于肺门肿块的并发症分析  

Analysis of Complications of CT-guided Percutaneous Needle Biopsy for Pulmonary Hilar Mass

作　　者：张知贵[1] 刘颖[1] 罗治海 李华强[3] 

机构地区：[1]重庆市巴南区人民医院放射科,重庆401320 [2]重庆市巴南区人民医院呼吸内科,重庆401320 [3]重庆市巴南区人民医院病理科,重庆401320

出　　处：《中国医药导刊》2016年第5期452-453,455,共3页Chinese Journal of Medicinal Guide

摘　　要：目的探讨CT引导经皮肺穿刺活检术应用于肺门肿块检查的并发症及其危险因素分析.方法：回顾性分析2013年2月至2015年2月136例在我院行肺门肿块CT引导经皮肺穿刺活检术的患者的病史资料,对并发症发生情况进行统计,并对相关危险因素进行Logistic回归分析.结果：CT引导经皮肺穿刺活检术的主要并发症为气胸和出血,发生率分别为为16.9%、14.0%.穿刺次数（OR=1.036,95% CI：1.025～1.047）、穿刺时间（OR=2.015,95% CI：1.055～3.849）是出血发生的独立危险因素（P〈0.05）;年龄（OR=1.275,95% CI：1.125～1.445）、穿刺次数（OR=2.253,95% CI：1.026～4.947）、穿刺时间（OR=3.365,95% CI：1.232～9.191）、穿刺深度（OR=2.336,95% CI：1.154～4.729）是气胸发生的独立危险因素（P〈0.05）.结论：年龄、穿刺次数、时间及深度是CT引导经皮肺穿刺活检术术后并发症发生的主要因素,临床上需要引起重视.Objective: To investigate the complications and risk factors of CT-guided percutaneous needle biopsy for pulmonary hilar mass.Methods:A retrospective analysis of 136 cases of CT-guided percutaneous lung biopsy in our hospital from February 2015 to February 2013 was performed to analyze the data of the patients who underwent percutaneous lung biopsy,and to analyze the related risk factors by Logistic regression analysis.Results:The major complications of CT guided percutaneous lung biopsy were pneumothorax and hemorrhage,the incidence rate was 16.9% and 14%.The number of puncture (OR=1.036,95%CI:1.025~1.047),puncture time (OR=2.015,95% CI:1.055~3.849) was the independent risk factor (P<0.05); age (OR=1.275,95%CI:1.125~1.445),number of puncture (OR=2.253,95% CI:1.026~4.947),puncture time (OR=3.365,95% CI:1.232~9.191),Puncture depth (OR=2.336,95% CI:1.154~4.729 were the independent risk factors of pneumothorax(P<0.05).Conclusion:Age,number of puncture,time and depth are the main factors of CT guided percutaneous puncture biopsy of postoperative complications. (P<0.05).

关 键 词：肺肿瘤 活组织检查 CT 经皮肺穿刺活检术 并发症 

分 类 号：R734.2[医药卫生—肿瘤]