[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: