摘要
目的 分析应用切割穿刺针行CT引导下肺穿刺活检的安全性。方法 选取连续的2 90例行CT引导下肺穿刺活检患者。回顾性总结CT引导下肺穿刺活检的并发症及其发生率与穿刺部位、穿刺针直径、穿刺针所经肺组织深度之间的关系。结果 2 90例行CT引导下肺穿刺活检的患者中 ,发生少量气胸 6 9例 (2 3 8% ) ,中等量气胸 11例 (3 8% ) ,肺内出血 46例 (15 9% ) ,皮下气肿 1例(0 3% ) ,咯血 2例 (0 7% ) ,胸膜腔出血 2例 (0 7% ) ,经统计学分析 ,穿刺针所经肺组织深度不同的病例组之间 ,穿刺活检并发症的发生率的差异有显著性 ;穿刺针所经肺组织深度相同的病例中 ,不同部位之间穿刺活检的并发症的发生率的差异无显著性。结论 CT引导下肺穿刺活检是一种可行的诊断方法。CT引导下肺穿刺活检并发症发生率以气胸和肺内出血为多见 ,发生率与病变所在部位关系不大 ,而随穿刺针经过肺组织的深度的增深而增高。
Objective To study the safety of CT-guided core needle lung biopsy Methods 290 cases of core-needle lung biopsy dated from April 1996 to April 2001 were studied Complications of core-needle lung biopsy and their incidence and relationship with puncture site, diameter of the needle and depth of the target lesion were retrospectively analyzed Results Of the 290 cases , 69 cases of mild pneumothorax (23 8%),11(3 8%)medium pneumothorax,46(15 9%) pulmonary bleeding ,2(0 7%)hemoptysis , 2(0 7%) bleeding in the thoracic cavity were identified Drainage was done in 3 cases of pneumothorax and emergency operation was needed in 1 case of thoracic cavity bleeding The rest of the complications resolved spontaneously after several days of bed rest Conclusions CT-guided biopsy is a reliable and relatively safe aggressive diagnostic method to get hologic diagnosis Pneumothorax and pulmonary bleeding are the most common complications, which correlated with the depth of the target lesions in the lung and have no correlation with the lesion location
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2002年第2期86-88,I004,共4页
Chinese Journal of Tuberculosis and Respiratory Diseases
