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CT引导下经皮肺穿刺活检的诊断意义及并发症分析

Diagnostic significance of CT-guided percutaneous needle aspiration biopsy and analysis in complications

    摘要
  • 摘要:
      目的  分析CT引导下经皮肺穿刺活检（CT-PTNB）在肺部病变中的诊断意义及并发症发生情况。
      方法  选取行CT-PTNB的51例患者为研究对象。记录和分析51例患者病理诊断率及术后并发症发生率。
      结果  51例患者中，一次活检确诊48例，二次活检确诊2例，总确诊率为98.0%（50/51）。5例患者术后出现气胸，气胸的发生与患侧肺气肿、病灶最大径相关，差异有统计学意义（P < 0.05）。12例患者术后出现肺野局部出血，其中2例患者术中出现少量咯血。出血的发生与高血压、病灶最大径、病灶深度相关，差异有统计学意义（P < 0.05）。
      结论  CT-PTNB对于肺部疾病特别是肺肿瘤的诊断及治疗具有重要意义，且其并发症发生率较低。

     

    Abstract:
      Objective  To analyze diagnostic significance of CT-guided percutaneous needle aspiration biopsy(CT-PTNB)and complications.
      Methods  Fifty-one patients receiving CT-PTNB were selected as research objects. Pathological diagnosis rate and postoperative complication rate of 51 patients were recorded and analyzed.
      Results  Among the 51 patients, 48 cases were confirmed by one time biopsy and 2 cases were confirmed by second time biopsy, with a total diagnosis rate of 98.0%(50/51). Five patients developed pneumothorax after surgery, and the occurrence of pneumothorax was significantly related to affected side emphysema and lesion maximum diameter (P < 0.05). Local hemorrhage in the lung field occurred in 12 cases after surgery, and a small amount of hemoptysis occurred in 2 cases during the operation. The occurrence of bleeding was significantly related to hypertension, lesion maximum diameter and lesion depth (P < 0.05).
      Conclusion  CT-PTNB is of great significance for the diagnosis and treatment of lung diseases, especially tumors, and its complication rate is low.

     

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