CT引导经皮肺穿刺活检并发症的预防

Prevention of Complications Associated with CT-guided Percutaneous Transthoracic Needle Biopsy

目的探讨CT引导向下经皮肺活检术的并发症及其预防和处理。方法对100例行CT引导下肺活检术,分析并发症的种类以及并发症的预防和处理措施。结果并发症48例(48%),其中气胸17例(17%),肺出血30例(30%),胸膜反应1例(1%),少量气胸及出血无需处理,大量气胸需要置管引流。结论对CT引导下肺活检术的并发症重在预防。

Objective To investigate the prevention of the complications due to CT-guided percutaneous tranthoracic biopsy. Methods CT guided percutaneous transthoracic needle biopsy was perfored in 100 patients. The Mnd of the complications were analyzed.The methods for the prevention and treatment of the complications were suggested. Results Of 100 cases,complications occurred in 48 （48%）cases,including pneumothorax in 17（17%）,hemorrhage in 30（30%）,pleura response in 1（1%）.A small quantity of pneumothorx or pulmonary hemorrhage were not particulary treaed, A lot of pneumothorx was placement chest tube. Conclusion The prevention of complication is important for CT guided needle biopsy.