肺部疾病患者CT引导下经皮肺穿刺活检术后并发气胸及出血的危险因素分析  

Risk factors analysis of pneumothorax and hemorrhage after CT-guided percutaneous lung biopsy in patients with pulmonary diseases

作　　者：陈智 杨镇洲 CHEN Zhi;YANG Zhenzhou(Department of Oncology and Hematology,The First People’s Hospital of Longquanyi District,Chengdu,Sichuan 610100,China;Oncology Center,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400072,China)

机构地区：[1]成都市龙泉驿区第一人民医院肿瘤血液科,四川成都610100 [2]重庆医科大学附属第二医院肿瘤中心,重庆400072

出　　处：《医药前沿》2023年第25期24-26,30,共4页Journal of Frontiers of Medicine

摘　　要：目的:分析肺部疾病患者CT引导下经皮肺穿刺活检(PTNB)术后并发气胸及出血的危险因素。方法:选取2017年1月—2022年12月在成都市龙泉驿区第一人民医院行CT引导下PTNB术的100例肺部疾病患者为研究对象,收集患者性别、年龄、穿刺深度等资料,分析PTNB术后并发气胸及出血的相关危险因素。结果:100例患者PTNB后出现气胸33例(有症状的中-大量气胸8例)、出血14例(中量1例),其中合并气胸及出血3例。多因素Logistic回归分析结果显示,性别(OR=0.186,95%CI:0.056~0.626)穿刺深度(OR=2.224,95%CI:1.167~4.241)、穿刺次数(OR=2.536.186,95%CI:1.182~5.444)及合并基础疾病(OR=3.834,95%CI:1.235~11.906)是PTNB术后并发气胸的影响因素(P均<0.05)。结论:CT引导下肺部疾病患者PTNB术后并发气胸与患者性别、穿刺深度、穿刺次数、合并基础疾病相关。Objective To analyze the risk factors of pneumothorax and hemorrhage in CT-guided percutaneous transthoracic needle biopsy(PTNB)in patients with pulmonary diseases.Methods A total of 100 patients with pulmonary diseases who underwent CT-guided PTNB in the First People’s Hospital of Longquanyi District from January 2017 to December 2022 were selected as the study objects.The data of patients’gender,age,puncture depth and other data were collected to analyze the related risk factors of pneumothorax and hemorrhage after PTNB.Results There were 33 cases of pneumothorax(8 cases of symptomatic moderatemassive pneumothorax)and 14 cases of hemorrhage(1 case of moderate hemorrhage)after PTNB,including 3 cases of combined pneumothorax and hemorrhage.The results of multivariate Logistic regression analysis showed that gender(OR=0.186,95%CI:0.056-0.626),puncture depth(OR=2.224,95%CI:1.167-4.241),puncture times(OR=2.536.186,95%CI:2.53-6.186;95%CI:1.182-5.444)and underlying diseases(OR=3.834,95%CI:1.235-11.906)were the influencing factors of pneumothorax after PTNB(all P<0.05).Conclusions Pneumothorax after PTNB surgery in patients with CT-guided pulmonary diseases is related to the gender of the patient,the depth of puncture,the number of puncture and the underlying diseases.

关 键 词：肺部疾病 CT引导 经皮肺穿刺活检术 气胸 出血 危险因素 

分 类 号：R563[医药卫生—呼吸系统]