[1]何 闯,李 扬,杨 丽,等.CT引导下肺实性结节切割活检术后出血与气胸的多因素分析 [J].介入放射学杂志,2017,(07):654-659.
　HE Chuang,LI Yang,YANG Li,et al.Pneumorrhagia and pneumothorax occurring after CT- guided cutting needle biopsy for pulmonary solid nodules： a multivariate analysis[J].journal interventional radiology,2017,(07):654-659.
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CT引导下肺实性结节切割活检术后出血与气胸的多因素分析


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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年07期
页码:
654-659
栏目:
临床研究
出版日期:
2017-07-25

文章信息/Info

Title:
Pneumorrhagia and pneumothorax occurring after CT- guided cutting needle biopsy for pulmonary solid nodules： a multivariate analysis
作者:
何 闯;  李 扬;  杨 丽;  李廷源;  李良山;  文 爽;  黄学全
Author(s):
HE Chuang;  LI Yang;  YANG Li;  LI Tingyuan;  LI Liangshan;  WEN Shuang;  HUANG Xuequan
Department of Interventional Radiology， Southwest Hospital， Third Military Medical University， Chongqing 400038， China
关键词:
【关键词】 肺结节;  CT引导;  活检;  出血;  气胸
文献标志码:
A
摘要:
【摘要】 目的 探讨CT 引导下经皮穿刺肺实性结节切割活检术后并发出血、气胸的危险因素。方法 回顾性分析肺实性结节（≤3 cm）320例经16 G半自动切割活检的临床及影像学资料，行单因素和多因素Logistic回归分析。结果 活检术后针道出血发生率33.1%，气胸发生率18.1%，良恶性诊断准确率约99.6%。针道长度是出血的独立危险因素，针道每增加3 cm，风险增加3.881倍，且风险也随穿刺时间（P=0.061）和穿胸膜次数（P=0.062）呈正相关。年龄、位置和针-胸膜夹角是气胸独立风险因素，年龄每增加10岁，风险增加2.102倍；上肺叶病灶显著低于下肺叶；针-胸膜夹角每增加20°，风险增加2.413倍，肺气肿以微弱差距（P=0.086）被排除方程之外。以出血、气胸概率值绘制ROC曲线，AUC值分别为0.753和0.725。结论 CT引导下肺实性结节切割活检术后出血、气胸的发生受多种因素影响，术前仔细评估，术中操作熟练度可以有效预判和降低出血、气胸的发生。

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备注/Memo

备注/Memo:
（收稿日期：２０１6-０4-3０）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2017-07-12