孤立性肺结节术前医用胶注射定位并发症及影响因素分析  

作　　者：鲁伟 杨勇[2] 陈兵 董礼文[2] 王军[2] 谢柏胜 

机构地区：[1]杭州市中医院丁桥院区,310007 [2]杭州市中医院,310007

出　　处：《浙江临床医学》2024年第11期1670-1671,1674,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药科技计划青年人才基金项目(2021ZQ063)。

摘　　要：目的探讨孤立性肺结节术前医用胶注射定位并发症发生情况及影响因素。方法回顾性分析2021年7月至2022年7月79例肺结节术前医用胶注射定位患者的临床资料。收集患者性别、年龄、既往肺病史、结节基本信息、穿刺定位情况等,分析术前医用胶注射定位并发症相关因素。结果79例接受术前医用胶注射定位患者,术后并发症:气胸23例,肺内出血24例。单因素分析显示,发生气胸不同穿刺次数差异有统计学意义(P<0.05);发生肺内出血在病灶深度、穿刺深度、肺内穿刺深度、胶体直径差异有统计学意义(P<0.05)。Logistic回归分析肺内穿刺深度(OR=2.235)、胶体直径(OR=0.11)是发生肺内出血的独立影响因素。结论术前医用胶注射定位安全可靠,操作时避免反复穿刺、选取较短的穿刺路径、适当增加胶体直径可有效减少穿刺定位术后并发症。Objective To investigate the incidence and influencing factors of complications in preoperative localization of solitary pulmonary nodules using medical glue injection.Methods Totally 79 patients with preoperative medical glue injection localization of pulmonary nodules in our hospital from July 2021 to July 2022 were retrospectively analysed.Patient gender,age,previous lung disease history,basic information of nodules,puncture localization were collected to analyze whether there were differences in the incidence of complications.Logistic regression was used to analyze the independent influencing factors.Results 79 cases of preoperative medical glue injection localization,23 had pneumothorax and 24 had intrapulmonary bleeding.Univariate analysis showed that pneumothorax is ralated to the number of punctures(P<0.05)and intrapulmonary bleeding is ralated to the depth of the lesion,puncture depth,intrapulmonary puncture depth,and colloid diameter(P<0.05).Logistic regression analysis analyzed that the intrapulmonary puncture depth(OR=2.235)and colloid diameter(OR=0.11)were independent influencing factors for intrapulmonary bleeding.Conclutions Preoperative medical glue injection localization is safe and reliable,avoiding repeated puncture,choosing a shorter puncture path,and appropriately increasing the diameter of the glue can effectively reduce complications of preoperative medical glue injection localization.

关 键 词：肺结节 医用胶注射定位 并发症 

分 类 号：R563[医药卫生—呼吸系统]