CT引导下经皮肺穿刺活检并发症的发生因素

Occurrence factors of complications in patients treated with CT-guided percutaneous needle biopsy

目的探讨分析CT引导下肺穿刺活检中对并发症的发生的影响因素。方法选取自2009年1月～2011年12月进行CT引导下肺穿刺活检患者174例,于术后观察患者并发症发生情况。结果全部患者行CT引导下肺穿刺活检成功。穿刺后出现气胸28例(16.1%);肺出血37例(21.3%),含针道少许出血29例(16.7%);咯血9例(5.17%);皮下气肿3例(1.72%);血胸1例(0.57%)。年龄、穿刺次数、穿刺时间、病灶大小、穿刺深度与并发症的发生率有显著的联系(P<0.05)。结论 CT引导下经皮进行肺穿刺活检是临床肺部病理检查的一种安全有效的方法。

Objective To explore the occurrence factors of complications in patients treated with CT-guided lung biopsy. Methods 174 patients treated with CT-guided lung biopsy from January 2009 to December 2011, were selected in this study, and the postoper- ative complications were observed. Results All patients were successfully underwent CT-guided lung biopsy. There were 28 cases of pneumothorax （ 16. 1% ）, 37 cases of pulmonary hemorrhage （21.3%） , 29 cases of a little needle tract bleeding （ 16. 7% ） , 9 cases of hemoptysis （5.17%） , 3 eases of subcutaneous emphysema （ 1.72% ） and 1 case of hemothorax （0. 57% ）. The occurrence of complications was related with age, number of puncture, puncture time, size of the lesion, and puncture depth （ P 〈 0. 05 ）. Conclusion CT-guided percutaneous lung biopsy is a safe and effective method of clinical lung pathological examination of a safe and effective method.