[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.
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C臂CT引导肺穿刺活检术并发症的危险因素分析()

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《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:

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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