CT引导下肺内单发结节带钩钢丝穿刺定位并发症分析  

作　　者：经齐峰[1] 董浩 沈水军[1] 王灿云[1] 

机构地区：[1]杭州市萧山区第一人民医院,311200

出　　处：《浙江临床医学》2020年第6期821-822,825,共3页Zhejiang Clinical Medical Journal

基　　金：杭州市萧山区重大科技计划项目(2019312)。

摘　　要：目的探讨CT引导下单发肺结节带钩钢丝穿刺定位并发症发生率及影响因素.方法收集48例肺内单发结节需要行CT引导下带钩钢丝穿刺定位患者的临床资料,分析穿刺结果及并发症情况,将影响因素通过χ^2检验进行统计学分析.结果48例患者均获得满意的定位,定位后出现并发症31例,其中肺内和针道出血18例(37.5%),气胸13例(27%),轻微咳血2例.χ^2检验结果显示,穿刺次数、穿刺距离与并发症的发生率有显著的关系(P<0.05).结论CT引导下肺内单发结节带钩钢丝穿刺是胸腔镜术前重要的定位方式,减少穿刺次数和选择短的穿刺距离对降低并发症、提高定位成功率具有重要临床意义.Objective To iwestigte the incidence of complice sions and ifuencing factors of CT guided loalization with a hook-wire syste for single pulmonary nodules.Methods he clinical data of 48 patients whe were performed by CT-guided localization with a hook-wire sysem for single small pulmonary nodules were clltedl The puncture results and complications were rcorded,and the possible influencing factos were lasifed for pall sauisical analyis.Results All the patient were saristc trily positioned,and complic ations ocurred in 31 cases,induding 18 caes(37.5%)ofheding,12 cases(25%)of beedieng in the nedle tmact,13 eses(27%)of pmeunothorax,and 2 cases of mild hemopryis Chi-squre test showed that the number of punctures,the distance between the lesion and the puncture site were significandy crrelated with the incidence of postoperaive.complications(P<0.05).Conclusion CT gided solitary nodule in the lung with hook wire puncture is an important poritioning method before thoracoscopie surgery,and reduces the number of punc tures and chooing a short puncture distance can help reduce complbeatios and improves the success rate of localization.

关 键 词：肺结节 单发 胸腔镜 体层摄影术 X线计算机 带钩钢丝 

分 类 号：R47[医药卫生—护理学]