摘要
目的分析CT引导下经皮穿刺肺活检术并发症的原因,探讨更为合理的操作方法。方法回顾性分析410例接受CT引导下经皮肺穿刺活检患者的临床资料,观察并发症发生情况。结果活检后54例(54/410,13.17%)出现肺部相关并发症,其中18例出现气胸(18/410,4.39%),1例为大量气胸;35例出现针道周围渗血(35/410,8.54%),其中15例出现痰中带血(15/410,3.66%);1例发生急性胸膜反应。无感染、大量出血或血胸、空气栓塞、针道种植等严重并发症发生。结论准确、熟练的CT引导穿刺技巧和选择恰当的操作方法是穿刺成功和减少并发症的重要因素。
Objective To analyze the influence factors of complications in CT-guided percutaneous pulmonary biopsy,and to explore the optimal methods of operation.Methods Totally 410 patients who underwent CT-guided percutaneous pulmonary biopsy were retrospectively analyzed,and the complications of biopsy were observed.Results Pulmo-related complications occurred in 54 patients（54/410,13.17%）,including pneumothorax in 18 patients（18/410,4.39%）,1 of them had pneumothorax and pulmonary bleeding around the needles in 35 patients（35/410,8.54%）,15 of which with haemoptysis（15/410,3.66%）,and 1 patient had acute pleura reaction.No severe complications such as infection,excessive bleeding,hemothorax,aeroembolism,needle track implantation metastasis occurred.Conclusion Accurate and skillful CT-guiding techniques and appropriate operation methods are important to improve the success rate and to reduce complications of CT-guided percutaneous pulmonary biopsy.
出处
《中国介入影像与治疗学》
CSCD
2010年第2期140-143,共4页
Chinese Journal of Interventional Imaging and Therapy
作者简介
王永红（1969-），男，河南济源人，本科，主治医师。研究方向：放射诊断与介入诊疗。E-mail：yonghongwl969@yahoo．cn
[通讯作者]李家开，中国人民解放军总医院放射科，100853。E—mail：lijiakai2004@yahoo．com．cn
