摘要
目的分析CT导引下经皮肺组织活检术常见并发症,探讨穿刺操作技巧在减少手术并发症中的作用。方法收集2006年6月-2007年6月肺内实质性占位病灶行经皮肺肿块穿刺活检术116例,分析并发症的种类、主要并发症及其处理措施,探讨CT导引下经皮肺内肿物穿刺过程及其体会。结果116例经皮肺肿块穿刺活检术均穿刺成功。发生的并发症主要有气胸(15.5%)、穿刺道出血(10.3%),咯血(4.3%),其他(1.7%)。除1例气胸患者予以胸腔闭式引流外,余均未作特殊处理。结论CT导引下经皮肺穿刺术是一项安全有效的诊断技术。穿刺术前病灶评估、术中精确定位及正确训练患者呼吸运动以配合穿刺操作可减少并发症。
Objective To analyze the complications due to CT-guided transthoracic aspiration biopsy for pulmonary lesions and discuss the role of puncture skill for reducing the complications. Methods CT- guided transthoracic aspiration biopsy was performed in 116 patients with intrapulmonary parenchymal occupied lesions from June 2006 to June 2007 in our hospital. The complications and the whole process of puncture were analyzed to obtain the experience for reducing the occurrence of complications. Results CT-guided transthoracic aspiration biopsy was succeeded in all 116 cases. The major complications included pneumothorax （15.51%）, puncture tract hemorrhage （10.34%）, hemoptysis （4.31%）and others （1.72%）. Only 1 case of pneumothorax was treated by closed thoracic drainage and no specific treatment for others. Conclusion CT- guided transthoracic aspiration biopsy for pulmonary lesions is an efficient and safe diagnostic modallty. The criteria for reducing the complications are associated with accurate localization, the correct breath training and evaluation of lesion before the operation.
出处
《介入放射学杂志》
CSCD
2007年第12期847-849,共3页
Journal of Interventional Radiology
