摘要
目的探讨CT引导下经皮肺穿刺活检并发症的原因及其预防和处理。方法对300例诊断不明的肺部结节病变行CT引导下经皮肺穿刺活检术,分析主要并发症的发生因素,以及并发症的预防和处理措施。结果300例均穿刺成功,并发症主要为气胸39例(13%),肺出血63例(21%)。气胸与病灶大小,部位及有无肺气肿有关,出血与病灶大小及部位有关。少量气胸或少量出血无需处理,大量气胸需置管引流。结论对于CT引导下经皮肺穿刺活检术的并发症,应以预防为主,而预防的关键在于术前准确的定位,以及术中熟练的操作。
Objective To investigate the prevention and treatment of the complications due to CT-guided percutaneous transthoracic bi- opsy. Methods CT-guided percutaneous transthoracic needle biopsy was performed in 300 patients. The complications and the contribu- ting factors were analyzed. The methods for the prevention and treatment of the complications were suggested. Results CT-guided percu- taneous transthoracic needle biopsy was succeeded in 300 cases. The major complications associated with CT-guided needle biopsy in- cluded pneumothorax（ 13% ）and pulmonary hemorrhage（% ）. Pneumothorax was associated with the lesion size, lesion location, and emphysema. Pulmonary hemorrhage was associated with the lesion size , lesion location. A small quantity of pneumothorax or pulmonary hemorrhage were not particularly treated. Conclusion The prevention of complications is important for CT-guided needle biopsy. The key factors to prevent the complications include accurate location of the lesions and skillful intra-operative puncture.
出处
《川北医学院学报》
CAS
2007年第6期573-575,共3页
Journal of North Sichuan Medical College
