CT引导下经皮肺穿刺活检术对肺部疾病诊断的临床价值及患者术后并发症发生的影响因素分析  

The clinical value of CT-guided percutaneous lung biopsy in the diagnosis of lung diseases and analysis of the influencing factors of postoperative complications in patients

作　　者：陈伟 钟增友 杨锟 CHEN Wei;ZHONG Zengyou;YANG Kun(Department of Radiology,Pingxiang Second People's Hospital,Pingxiang,Jiangxi 337000,China)

机构地区：[1]萍乡市第二人民医院放射科,江西萍乡337000

出　　处：《当代医学》2024年第15期138-141,共4页Contemporary Medicine

摘　　要：目的分析CT引导下经皮肺穿刺活检术对肺部疾病的诊断效果及患者术后并发症发生的影响因素。方法选取2019年1月至2022年8月萍乡市第二人民医院收治的60例肺部疾病患者,所有患者均行CT引导下经皮肺穿刺活检术,统计穿刺成功率及术后并发症发生情况、活检标本病理检查结果,分析患者CT引导下经皮肺穿刺活检术后并发症发生的影响因素。结果60例肺部疾病患者CT引导下经皮肺穿刺活检术均成功,成功率为100.00%,并发症发生率为25.00%;60例患者中,恶性病变52例,良性病变8例。CT引导下经皮肺穿刺活检术后有、无并发症患者病灶直径、病灶距胸壁距离比较差异有统计学意义(P<0.05);有、无并发症患者性别、年龄、体重指数、吸烟史、基础疾病史比较差异无统计学意义。多因素Logistic回归分析结果显示,病灶直径<3 cm、病灶距胸壁距离≥3 cm是患者CT引导下经皮肺穿刺活检术后并发症发生的独立危险因素(OR>1,P<0.05)。结论CT引导下经皮肺穿刺活检术具有较高的穿刺成功率,能有效诊断肺部良恶性疾病,病灶直径<3 cm、病灶距胸壁距离≥3 cm是患者CT引导下经皮肺穿刺活检术后并发症发生的独立危险因素,临床应重视上述情况患者,谨慎操作,以减少术后并发症的发生。Objective To analyze the diagnostic efficacy of CT-guided percutaneous lung biopsy on lung diseases and the influencing factors of postoperative complications.Methods Sixty patients with lung diseases admitted to the Second People's Hospital of Pingxiang City from January 2019 to August 2022 were selected,and all patients underwent CT-guided percutaneous lung puncture biopsy,the success rate of puncture,the occurrence of postoperative complications,and the pathological examination results of biopsy specimens were counted,the influencing factors of complications after CT-guided percutaneous lung biopsy was analyzed.Results CT-guided percutaneous lung biopsy was successful in all 60 patients with lung diseases,with a success rate of 100.00%and a complication rate of 25.00%;among the 60 patients,there were 52 cases of malignant lesions and 8 cases of benign lesions.There were statistically significant differences in lesion diameter and distance from the chest wall between patients with and without complications after CT-guided percutaneous lung biopsy(P<0.05);there was no significant difference in gender,age,body mass index,smoking history and underlying disease history between patients with and without complications.Multivariate Logistic regression analysis showed that lesion diameter<3 cm and lesion distance from chest wall≥3 cm were independent risk factors for postoperative complications after CT-guided percutaneous lung biopsy(OR>1,P<0.05).Conclusion CT-guided percutaneous lung biopsy has a high success rate in puncture and can effectively diagnose benign and malignant lung diseases,lesion diameter<3 cm and lesion distance≥3 cm from the chest wall are independent risk factors for postoperative complications in patients with CT-guided percutaneous lung biopsy,clinical attention should be paid to patients with the above conditions and cautious operation to reduce the occurrence of postoperative complications.

关 键 词：肺部疾病 CT 经皮肺穿刺活检术 并发症 

分 类 号：R563[医药卫生—呼吸系统]