肺穿刺活检术后患者发生气胸、出血的影响因素分析  

Influencing Factors of Pneumothorax and Hemorrhage after Lung Biopsy

作　　者：欧阳志成 李小玲[1] 董利民[1] OUYANG Zhicheng;LI Xiaoling;DONG Limin(Pingxiang People’s Hospital,Jiangxi Province,Pingxiang 337000,China;不详)

机构地区：[1]江西省萍乡市人民医院,江西萍乡337000

出　　处：《中国医学创新》2022年第14期123-127,共5页Medical Innovation of China

摘　　要：目的:探究肺穿刺活检术后患者发生气胸、出血的影响因素。方法:回顾性分析萍乡市人民医院2019年10月-2021年1月收治的CT引导下行肺穿刺活检术的100例患者的临床资料,统计患者术后气胸、出血发生情况,并分析其影响因素。结果:100例CT引导下行肺穿刺活检术患者中,28例(28.00%)发生出血,19例(19.00%)发生气胸;病变大小、穿刺深度、穿刺次数、慢性肺部病变、距胸膜距离均为患者肺穿刺活检术后并发气胸的相关因素(P<0.05);年龄、病变大小、穿刺深度、穿刺次数、距胸膜距离均为肺穿刺活检术后并发出血的相关因素(P<0.05);logistic回归分析显示,病变≤3 cm、穿刺深度>5 cm、穿刺次数>3次、有慢性肺部疾病、距胸膜距离>20 mm均为肺穿刺活检术后患者并发气胸的独立危险因素(P<0.05),年龄>60岁、病变≤3 cm、穿刺深度>5 cm、穿刺次数>3次、距胸膜距离>20 mm均为肺穿刺活检术后患者并发出血的独立危险因素(P<0.05)。结论:气胸、出血为肺穿刺活检术后患者常见并发症,病变大小、穿刺深度、穿刺次数、距胸膜距离均为患者术后并发气胸、出血的影响因素。Objective:To explore the influencing factors of pneumothorax and hemorrhage after lung biopsy.Method:The clinical data of 100 patients who underwent CT-guided lung biopsy in Pingxiang People’s Hospital from October 2019 to January 2021 were retrospectively analyzed,and the occurrence of postoperative pneumothorax and hemorrhage were statistically analyzed,and the influencing factors were analyzed.Result:Hemorrhage occurred in 28 patients (28.00%) and pneumothorax occurred in 19 patients (19.00%) among 100 patients who underwent CT-guided lung biopsy.Lesion size,puncture depth,puncture times,chronic lung lesion and distance from pleura were all related factors of pneumothorax after lung biopsy (P<0.05).Age,lesion size,puncture depth,number of punctures and distance from pleura were all related factors of hemorrhage after lung biopsy (P<0.05).logistic regression analysis showed that lesion ≤3 cm,puncture depth >5 cm,puncture times >3 times,chronic lung disease,and distance from pleura >20 mm were all independent risk factors for pneumothorax after lung biopsy (P<0.05).Age>60 years,lesion ≤3 cm,puncture depth >5 cm,puncture times >3 times,and distance from pleura >20 mm were all independent risk factors for hemorrhage after lung biopsy (P<0.05).Conclusion:Pneumothorax and hemorrhage are common complications after lung biopsy,lesion size,puncture depth,puncture times and distance from the pleura are influencing factors of postoperative pneumothorax and hemorrhage.

关 键 词：肺穿刺活检 气胸 出血 

分 类 号：R563[医药卫生—呼吸系统]