CT引导经皮肺穿刺活体组织检查术效果及术后并发症的观察护理  

Effect of CT-guided percutaneous lung puncture biopsy and nursing of postoperative complications

作　　者：邱培 陈桂枝[1] 谭小波[1] 

机构地区：[1]四川大学华西医院肺癌治疗中心,成都610041

出　　处：《华西医学》2017年第1期73-76,共4页West China Medical Journal

摘　　要：目的探讨CT引导下经皮肺穿刺活体组织检查(活检)术的效果及术后并发症的观察与护理方法。方法回顾分析2014年5月—8月行CT引导下经皮肺穿刺活检术的522例患者的临床资料,总结穿刺效果、术后并发症及护理对策。结果 522例患者中,术后明确诊断507例,未明确诊断10例,穿刺失败5例;203例出现并发症,包括气胸122例(发生率为23.4%),咯血56例(发生率为10.7%),胸腔积液20例(发生率为3.8%),胸膜反应4例(发生率为0.8%),纵隔气肿1例(发生率为0.2%),未发生大量血气胸、大咯血、肿瘤针道转移等严重并发症,上述并发症经过积极对症处理及针对性护理后治愈。结论 CT引导下经皮肺穿刺活检术是诊断肺占位性病变的一种安全可靠方法,但有部分患者会出现并发症,因此术后的观察与护理尤为重要,及时发现并发症并给予积极治疗与护理,多能取得满意效果。Objective To investigate the effect of CT-guided percutaneous lung puncture biopsy and nursing of postoperative complications.Methods We retrospectively analyzed the clinical data of 522 patients who underwent CTguided percutaneous lung biopsy between May and August 2014 in the Department of Lung Cancer Center.Effect of the puncture biopsy,postoperative complications and nursing measures were summarized.Results After surgery,507 cases of diagnosis were confirmed,10 were not confirmed,and 5 cases of puncture were unsuccessful.There were 203 cases of complications,including 122 cases of pneumothorax（23.4%）,56 of hemoptysis 56（10.7%）,20 of pleural effusion（3.8%）,4 of pleural reaction（0.8%）,and 1 of mediastinal emphysema（0.2%）.All the above complications were cured after positive symptomatic treatment and nursing care.There were no such complications as severe hemopneumothorax,severe hemoptysis or needle tract metastasis.Conclusions CT-guided percutaneous lung puncture biopsy is a safe and reliable method,but there are some patients with complications.Observation and postoperative care are particularly important.Timely detection and positive care will achieve satisfactory results.

关 键 词：CT引导肺穿刺活体组织检查术 效果 术后并发症 护理 

分 类 号：R473[医药卫生—护理学]