探讨85例肺结节患者CT引导下肺结节穿刺活检的并发症发生情况及影响因素  

Exploring the Incidence and Influencing Factors of Complications in CT Guided Needle Biopsy of 85 Patients with Pulmonary Nodules

作　　者：林淑宁 丁体英[1] 娄江华[1] LIN Shu-ning;DING Ti-ying;LOU Jiang-hua(Medical Imaging Department,Henan Provincial People's Hospital,Zhengzhou 450000,Henan Province,China)

机构地区：[1]河南省人民医院医学影像科,河南郑州450000

出　　处：《罕少疾病杂志》2023年第10期20-22,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划项目(LHGJ20220057)。

摘　　要：目的探讨85例肺结节患者CT引导下肺结节穿刺活检的并发症发生情况及影响因素。方法对于本院进行CT引导下肺结节穿刺活检的85例患者的临床资料进行回顾性分析,按结节大小进行分组,分析各组穿刺活检的诊断符合率;对影响肺结节患者CT引导下肺结节穿刺活检的并发症的因素进行分析,包括性别、年龄、穿刺大小与深度等;将上述因素中差异有统计学意义的因素进一步分析,筛选肺结节患者CT引导下肺结节穿刺活检发生气胸、肺出血的危险因素。结果85例患者中共有1例取材为正常肺组织,占比1.18%;其余84例均取得病理组织,占比98.82%,其中有10例无手术结果证实,各结节大小组的穿刺诊断活检诊断符合率分别为77.78%、80.77%、82.61%、92.59%;85例患者中经术后扫描发现有15例出现气胸,发生率为17.65%,16例患者出现肺出血,发生率为18.82%;肺结节患者CT引导下肺结节穿刺活检术后发生气胸的影响因素为年龄、穿刺针穿越肺组织距离;而发生肺出血的影响因素为结节大小、穿刺针穿越肺组织距离(均P<0.05);气胸发生的危险因素在于年龄、穿刺针穿越肺组织距离(OR=1.040、1.028,均P<0.05);肺出血发生的危险因素在于结节大小、穿刺针穿越肺组织距离(OR=0.940、1.029,均P<0.05)。结论肺结节患者行CT引导下肺结节穿刺活检的并发症主要有气胸、肺出血,其中气胸发生的危险因素在于年龄、穿刺针穿越肺组织距离,肺出血发生的危险因素在于结节大小、穿刺针穿越肺组织距离,临床可据此采取相关干预措施,以减少并发症的发生。Objective:To investigate the incidence of complications and influencing factors in CT guided needle biopsy of 85 patients with pulmonary nodules.Methods:A retrospective analysis was conducted on the clinical data of 85 patients who underwent CT guided pulmonary nodule biopsy in our hospital.They were grouped according to the size of the nodules and the diagnostic accuracy of each group's biopsy was analyzed;Analyze the factors that affect the complications of CT guided pulmonary nodule biopsy in patients with pulmonary nodules,including gender,age,puncture size and depth,etc;Further analyze the statistically significant differences among the above factors and screen the risk factors for pneumothorax and pulmonary hemorrhage in CT guided lung nodule biopsy patients.Results:Among the 85 patients,1 case was taken from normal lung tissue,accounting for 1.18%;The remaining 84 cases all obtained pathological tissue,accounting for 98.82%.Among them,10 cases were not confirmed by surgical results.The accuracy rates of puncture diagnosis and biopsy for each nodule size group were 77.78%,80.77%,82.61%,and 92.59%,respectively;Out of 85 patients,postoperative scanning revealed pneumothorax in 15 cases,with an incidence rate of 17.65%,and pulmonary hemorrhage in 16 patients,with an incidence rate of 18.82%;The influencing factors for the occurrence of pneumothorax in patients with pulmonary nodules after CT guided needle biopsy are age and the distance between the needle and the lung tissue;The influencing factors for the occurrence of pulmonary hemorrhage are the size of the nodules and the distance between the puncture needle and the lung tissue(all P<0.05);The risk factors for pneumothorax are age and the distance between the puncture needle and the lung tissue(OR=1.040,1.028,all P<0.05);The risk factors for pulmonary hemorrhage are the size of the nodules and the distance between the puncture needle and the lung tissue(OR=0.940,1.029,all P<0.05).Conclusion:The main complications of CT guided pulmonary nodule biopsy in pat

关 键 词：肺结节 CT引导 穿刺活检 并发症 危险因素 

分 类 号：R734.2[医药卫生—肿瘤]