[1]刘　浩,诸葛雪朋,李世飞,等.CT引导下肺活检后速发性气胸和迟发性气胸的对比研究[J].介入放射学杂志,2023,32(01):69-72.
　LIU Hao,ZUGE Xuepeng,LI Shifei,et al.Instant pneumothorax and delayed pneumothorax occurring after CT-guided lung biopsy: a comparative study[J].journal interventional radiology,2023,32(01):69-72.
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CT引导下肺活检后速发性气胸和迟发性气胸的对比研究()

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

卷:
32
期数:
2023年01
页码:
69-72
栏目:
临床研究
出版日期:
2023-02-13

文章信息/Info

Title:
Instant pneumothorax and delayed pneumothorax occurring after CT-guided lung biopsy: a comparative study
作者:
刘　浩; 　诸葛雪朋; 　李世飞; 　张浩业; 　王保收
Author(s):
LIU Hao;  ZUGE Xuepeng;  LI Shifei;  ZHANG Haoye;  WANG Baoshou.
Department of Cardiothoracic Vascular Surgery, Kaifeng Municipal Central Hospital, Kaifeng, Henan Province 475000, China
关键词:
【关键词】电子计算机断层扫描; 肺活检; 气胸
文献标志码:
A
摘要:
【摘要】　目的　探讨CT引导下肺活检术后速发性气胸和迟发性气胸的危险因素。方法　回顾性分析532例接受CT引导下肺活检患者的临床资料。肺活检术后4 h和出院前至少两次复查胸片。根据患者病变和肺活检相关变量评估速发性和迟发性气胸的危险因素。结果　共有158例患者发生气胸，其中速发性气胸132例，迟发性气胸26例。病变大小是速发性和迟发性气胸共同的独立危险因素。肺气肿、肺下叶位置、肺内穿刺距离长是速发性气胸的独立危险因素。肺上叶位置和胸膜穿刺次数多是迟发性气胸独立的危险因素。有14例（8.9%）患者需要置胸管或引流管，其中速发性气胸9例，迟发性气胸5例。迟发性气胸组胸管置入率高于速发性气胸组（P＜0.01）。结论　对于肺气肿、肺下叶病变、肺内穿刺距离长的患者，CT引导下肺活检后往往立即发生气胸。由于迟发性气胸对胸管引流的要求较高，多次穿刺累及肺上叶的小病变需注意监测。

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备注/Memo

备注/Memo:
（收稿日期：2021-11-21）
（本文编辑：新　宇）
更新日期/Last Update: 2023-02-13