【摘要】 目的探讨肺部占位性病变患者CT引导下经皮肺穿刺活检术穿刺次数及并发症的影响因素。方法选择2011年1月—2014年1月在河北医科大学第一医院胸外科就诊的肺部占位性病变患者240例,均进行CT引导下经皮肺穿刺活检术,统计其穿刺次数及并发症发生情况,比较不同性别、年龄、病变大小、病变距胸膜距离、病变部位及穿刺体位患者穿刺次数,比较不同性别、是否吸烟及不同年龄、病变大小、病变距胸膜距离、病变部位、穿刺体位、穿刺次数患者并发症发生情况。结果本组患者穿刺成功率为100.00%,其中穿刺1次者149例(占62.08%),穿刺2次者71例(占29.58%),穿刺≥3次者20例(占8.34%)。不同性别、年龄、病变部位及穿刺体位患者穿刺次数比较,差异无统计学意义(P>0.05);不同病变大小、病变距胸膜距离患者穿刺次数比较,差异有统计学意义(P<0.05)。本组患者气胸发生率为25.83%,出血发生率为27.08%。不同性别、病变大小、病变距胸膜距离患者气胸发生率比较,差异无统计学意义(P>0.05);是否吸烟及不同年龄、病变部位、穿刺体位及穿刺次数患者气胸发生率比较,差异有统计学意义(P<0.05)。不同性别、是否吸烟及不同年龄、穿刺体位患者出血发生率比较,差异无统计学意义(P>0.05);不同病变大小、病变距胸膜距离、病变部位及穿刺次数患者出血发生率比较,差异有统计学意义(P<0.05)。结论肺部占位性病变患者CT引导下经皮肺穿刺活检术穿刺次数与病变大小、病变距胸膜距离有关,气胸的发生与吸烟、年龄、病变部位、穿刺体位及穿刺次数有关,出血的发生与病变大小、病变距胸膜距离、病变部位及穿刺次数有关。更多还原

【Abstract】 Objective To investigate the influencing factors of puncture times and postoperative complications of lung space- occupying lesions patients undergoing CT guided percutaneous pulmonary puncture biopsy. Methods A total of 240 lung space- occupying lesions patients undergoing CT guided percutaneous pulmonary puncture biopsy were selected in the First Hospital of Hebei Medical University from January 2011 to January 2014, puncture times and incidence of postoperative complications were recorded. Puncture times was compared in patients with different gender,age,lesion sizes,distances between lesions and pleura,lesion locations and puncture body positions,and incidence of postoperative complications in patients with different gender,age,lesion sizes,distances between lesions and pleura,lesion locations,puncture body positions,puncture times and smoking or not. Results The success rate of puncture was 100. 00%,thereinto 149 cases successfully punctured with1 time( accounting for 62. 08%), 71 cases successfully punctured with 2 times( accounting for 29. 58%), 20 cases successfully punctured with 3 times( accounting for 8. 34%). No statistically significant differences of puncture times was found in patients with different gender, age, lesion sizes or puncture body positions( P > 0. 05); while there were statistically significant differences of puncture times in patients with different lesion sizes,distances between lesions and pleura( P < 0. 05).The incidence of pneumothorax was 25. 83%,that of hemorrhage was 27. 08%. No statistically significant differences of incidence of pneumothorax was found in patients with different gender,lesion sizes,distances between lesions and pleura( P > 0. 05);while there were statistically significant differences of incidence of pneumothorax in patients with different age,lesion locations,puncture body positions,puncture times and smoking or not( P < 0. 05). No statistically significant differences of incidence of hemorrhage was found in patients with different gender,age,puncture body positions,smoking or not( P > 0. 05); while there were statistically significant differences of incidence of hemorrhage in patients with lesion sizes,distances between lesions and pleura,lesion locations and puncture times( P < 0. 05). Conclusion In patients with lung space- occupying lesions,puncture times is related with lesion sizes and puncture body positions, pneumothorax is related with smoking, age, lesion locations,puncture body positions and puncture times,and hemorrhage is related with lesion sizes,distances between lesions and pleura,lesion locations and puncture times.更多还原