[1]陈万海,沈晓文,孙新刚,等. 经皮肺活检常见并发症风险因素分析[J].介入放射学杂志,2012,(02):168-171.
　CHEN Wan-hai,SHEN Xiao-wen,SUN Xin-gang,et al.The common complications in percutaneous lung biopsy: an analysis of the relevant risk factors[J].journal interventional radiology,2012,(02):168-171.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年02期
页码:
168-171
栏目:
临床研究
出版日期:
2012-02-28

文章信息/Info

Title:
The common complications in percutaneous lung biopsy: an analysis of the relevant risk factors
作者:
 陈万海;  沈晓文;  孙新刚;  王 臻;  张追阳
214002 江苏无锡 南京医科大学附属医院无锡市第二人民医院放射科
Author(s):
CHEN Wan-hai;  SHEN Xiao-wen;  SUN Xin-gang;  WANG Zhen;  ZHANG Zhui-yang.
Department of Radiology, Affiliated Hospital of Nanjing Medical University, Wuxi, Jiangsu Province 214002, China
关键词:
【关键词】 肺疾病;  ＣＴ;  肺活检;  气胸;  出血
文献标志码:
A
摘要:
【摘要】 目的 分析ＣＴ引导下同轴活检肺内病变的并发症及其影响因素。方法 总结江苏省无锡市第二人民医院放射科收治的２０１例经皮肺活检患者资料，分析患者的年龄、性别、病灶大小、位置、深度、穿刺次数、患者体位、是否伴有肺气肿及手术经验对于气胸和出血发生率的影响。结果 本组经皮肺活检主要并发症是气胸和出血，其中发生气胸４８例（２３．９％），出血２３例（１１．４％），无死亡病例，行胸腔闭塞引流１０例。单因素分析显示病灶大小（Ｐ ＝ ０．００２）、病灶深度（Ｐ ＜ ０．００１）、穿刺次数（Ｐ ＜ ０．０１）、肺气肿（Ｐ ＝ ０．０１５）及手术经验（Ｐ ＝ ０．００１）与气胸的发生显著相关，而病灶深度（Ｐ ＜ ０．０１）、穿刺次数（Ｐ ＜ ０．０１）及手术经验（Ｐ ＝ ０．００５）与出血的发生显著相关。Ｌｏｇｉｓｔｉｃ回归分析显示穿刺次数（ＯＲ ＝ ５．７９６，Ｐ ＝ ０．０００）、病灶深度（ＯＲ ＝ １．９０２，Ｐ ＝ ０．０２）、有无肺气肿（ＯＲ ＝ ２．７５３，Ｐ ＝ ０．０２１）为气胸发生的危险因素，有手术经验（ＯＲ ＝ ０．３９６，Ｐ ＝ ０．０２２）为气胸发生的保护因素；而穿刺次数（ＯＲ ＝ ８．４０１，Ｐ ＝ ０．０００），病灶深度（ＯＲ ＝ ２．４９３，Ｐ ＝ ０．０１０）是出血的危险因素，有手术经验（ＯＲ ＝０．３１３，Ｐ ＝ ０．０４７）为出血的保护因素。结论 穿刺次数是气胸及出血发生的最主要的风险因素，穿刺次数超过２次显著增加了气胸及出血的发生率。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2011-10-17)
更新日期/Last Update: