CT引导下肺部穿刺活检后气胸形成的影响因素  

Factors influencing pneumothorax occurrence after CT-guided lung puncture biopsy

作　　者：王生锋[1] 鞠建[1] 徐晓燕[1] WANG Shengfeng;JU Jian;XU Xiaoyan(Department of Medical Imaging,Nantong Mimicipid Hospital of Traditional Chinese Medicine,Nantong,Jiangsu Province 226001,China)

机构地区：[1]南通市中医院影像科,江苏226001

出　　处：《介入放射学杂志》2021年第3期279-282,共4页Journal of Interventional Radiology

基　　金：江苏省卫生厅面上科研课题项目(H201106)。

摘　　要：目的探讨CT引导下肺部穿刺活检后气胸形成的危险因素。方法回顾性分析89例接受CT引导下肺部穿刺活检患者的临床资料。依据患者是否发生气胸分为气胸组(n=24)与非气胸组(n=65),对比两组患者围术期各项基础资料信息差异,再将有差异变量纳入logistic回归分析,明确CT引导下肺部穿刺活检后出现气胸危险因素。结果气胸组年龄≥65岁、穿刺针停留时间>20 min、病灶直径<2 cm、病灶与胸壁距离≥2 cm、合并慢性阻塞性肺疾病(COPD)或肺纤维化患者占比显著高于非气胸组,P<0.05。经logistic回归性分析显示上述诸因素为CT引导下肺部穿刺活检后出现气胸的危险因素。结论CT引导下肺部穿刺活检后气胸形成的危险因素较多,在肺穿刺活检手术中应当予以关注。Objective To discuss the risk factors of pneumothorax occurring after CT-guided lung puncture biopsy.Methods The clinical data of 89 patients,who received CT-guided lung puncture biopsy,were retrospectively analyzed.According to the occurrence of pneumothorax the patients were divided into pneumothorax group(n=24)and non-pneumothorax group(n=65).The perioperative basic clinical data were compared between the two groups,the discrepant variables were included in logistic regression analysis to determine the risk factors of pneumothorax after CT-guided lung puncture biopsy.Results The proportion of the patients,whose age was≥65 years and in whom the puncture needle stayed in lung over 20 min,the lesion diameter was<2 cm,the distance between the lesion and chest wall was≥2 cm,and COPD or pulmonary fibrosis was coexisted,in pneumothorax group was significantly higher than that in nonpneumothorax group(P<0.05).Logistic regression analysis indicated that the above mentioned indexes were the risk factors for pneumothorax occurring after CT-guided lung puncture biopsy.Conclusion There are many risk factors for pneumothorax occurring after CT-guided lung puncture biopsy,to which serious attention should be paid in performing lung puncture biopsy.(J Intervent Radiol,2021,30:279-282)。

关 键 词：肺穿刺活检 气胸 危险因素 

分 类 号：R736[医药卫生—肿瘤]