[1]胡富天,黄大钡,李晓群,等.C臂CT引导肺穿刺活检术并发症的危险因素分析[J].介入放射学杂志,2019,28(01):49-53.
HU Futian,HUANG Dabei,LI Xiaoqun,et al.Analysis of the risk factors for the complications of C- arm CT- guided percutaneous lung biopsy[J].journal interventional radiology,2019,28(01):49-53.
点击复制
C臂CT引导肺穿刺活检术并发症的危险因素分析()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
-
28
- 期数:
-
2019年01期
- 页码:
-
49-53
- 栏目:
-
非血管介入
- 出版日期:
-
2019-01-25
文章信息/Info
- Title:
-
Analysis of the risk factors for the complications of C- arm CT- guided percutaneous lung biopsy
- 作者:
-
胡富天; 黄大钡; 李晓群; 张 健; 陈 都; 陈 源
-
- Author(s):
-
HU Futian; HUANG Dabei; LI Xiaoqun; ZHANG Jian; CHEN Du; CHEN Yuan
-
Department of Interventional Radiology, Zhongshan Municipal People’s Hospital, Affiliated Zhongshan Hospital of Sun Yat- sen University, Zhongshan, Guangdong Province 528403, China
-
- 关键词:
-
【关键词】 C臂CT引导; 肺穿刺活检; 气胸; 肺出血
- 文献标志码:
-
A
- 摘要:
-
【摘要】 目的 分析C臂CT引导肺穿刺活检术并发症的危险因素。方法 回顾性分析395例肺部疾病患者共行408次C臂CT引导肺穿刺活检术,分析C臂CT引导肺穿刺活检常见并发症气胸、肺出血的危险因素。结果 C臂CT引导肺穿刺活检的技术成功率99.8%(407/408),病理诊断准确率92.4%(365/395),并发症发生率22.3%(91/408),气胸发生率9.1%(37/408),肺出血发生率14.7%(60/408),6例患者同时并发气胸及肺出血。卡方检验发现气胸与性别、穿刺深度、距胸膜距离、是否有肺气肿不同组别之间差异有统计学意义(P<0.05);肺出血在年龄、病变大小、穿刺针直径、穿刺深度、距胸膜距离不同组别之间差异有统计学意义(P<0.05)。Logistic回归分析提示男性、穿刺深度长、距胸壁距离远、肺气肿是气胸发生的危险因素;年龄小、穿刺深度长、距胸壁距离远、病灶小、取材次数1次以上是肺出血的危险因素。结论 男性、年龄小、穿刺深度长、距胸壁距离远、肺气肿、病灶小、取材次数1次以上是C臂CT引导肺穿刺活检并发症的危险因素。
参考文献/References:
[1] Choo JY, Park CM, Lee NK, et al. Percutaneous transthoracic needle biopsy of small(≤ 1 cm) lung nodules under C- arm cone- beam CT virtual navigation guidance[J]. Eur Radiol, 2013, 23: 712- 719.
[2] Floridi C, Muollo A, Fontana F, et al. C- arm cone- beam computed tomography needle path overlay for percutaneous biopsy of pulmonary nodules[J]. Radiol Med, 2014, 119: 820- 827.
[3] Yan GW, Bhetuwal A, Yan GW, et al. A systematic review and meta- analysis of C- arm cone- beam CT- guided percutaneous transthoracic needle biopsy of lung nodules[J]. Pol J Radiol, 2017, 82: 152- 160.
[4] Aktas AR, Gozlek E, Yazkan R, et al. Transthoracic biopsy of lung masses: non technical factors affecting complication occurrence[J]. Thoracic Cancer, 2015, 6: 151- 158.
[5] Heerink WJ, de Bock GH, De Jonge GJ, et al. Complication rates of CT- guided transthoracic lung biopsy: meta- analysis[J]. Eur Radiol, 2017, 27: 138- 148.
[6] Li Y, Du Y, Luo TY, et al. Usefulness of normal saline for sealing the needle track after CT- guided lung biopsy[J]. Clin Radiol, 2015, 70: 1192- 1197.
[7] Lee SM, Park CM, Lee KH, et al. C- arm cone- beam CT- guided percutaneous transthoracic needle biopsy of lung nodules: clinical experience in 1108 patients[J]. Radiology, 2014, 271: 291- 300.
[8] Choi JW, Park CM, Goo JM, et al. C- arm cone- beam CT- guided percutaneous transthoracic needle biopsy of small(≤ 20 mm) lung nodules: diagnostic accuracy and complications in 161 patients[J]. AJR Am J Roentgenol, 2012, 199: W322- W330.
[9] Kuban JD, Tam AL, Huang SY, et al. The effect of needle gauge on the risk of pneumothorax and chest tube placement after percutaneous computed tomographic(CT)- guided lung biopsy[J]. Cardiovasc Intervent Radiol, 2015, 38: 1595- 1602.
[10] Liao MY, Zhou YF, Tian ZX, et al. The factor analysis of the incidence of complication in CT- guided lung automated cutting needle biopsy with extrapleural locating method[J]. Zhonghua Yi Xue Za Zhi, 2010, 90: 1747- 1751.
[11] Nour- Eldin NE, Alsubhi M, Emam A, et al. Pneumothorax complicating coaxial and non- coaxial CT- guided lung biopsy: comparative analysis of determining risk factors and management of pneumothorax in a retrospective review of 650 patients[J]. Cardiovasc Intervent Radiol, 2016, 39: 261- 270.
[12] Lim WH, Park CM, Yoon SH, et al. Time- dependent analysis of incidence, risk factors and clinical significance of pneumothorax after percutaneous lung biopsy[J]. Eur Radiol, 2018, 28: 1328- 1337.
[13] Zhao Y, Wang X, Wang Y, et al. Logistic regression analysis and a risk prediction model of pneumothorax after CT- guided needle biopsy[J]. J Thorac Dis, 2017, 9: 4750- 4757.
[14] Kim JI, Park CM, Lee SM, et al. Rapid needle- out patient- rollover approach after cone beam CT- guided lung biopsy: effect on pneumothorax rate in 1191 consecutive patients[J]. Eur Radiol, 2015, 25: 1845- 1853.
[15] Branden E, Wallgren S, Hogberg H, et al. Computer tomography- guided core biopsies in a county hospital in Sweden: complication rate and diagnostic yield[J]. Ann Thorac Med, 2014, 9: 149- 153.
[16] 杨肖华, 黄新宇, 汪国祥. CT引导下经皮肺穿刺活检术并发症的影响因素分析[J]. 介入放射学杂志, 2013, 22: 658- 662.
[17] Moreland A, Novogrodsky E, Brody L, et al. Pneumothorax with prolonged chest tube requirement after CT- guided percutaneous lung biopsy: incidence and risk factors[J]. Eur Radiol, 2016, 26: 3483- 3491.
[18] 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, 21: 168- 171.
备注/Memo
- 备注/Memo:
-
(收稿日期:2018-04-07)
(本文编辑:俞瑞纲)
更新日期/Last Update:
2019-01-21