中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
8期
689-691
,共3页
肺%活组织检查,针吸%出血%气胸%体层摄影术,X线
肺%活組織檢查,針吸%齣血%氣胸%體層攝影術,X線
폐%활조직검사,침흡%출혈%기흉%체층섭영술,X선
Lung%Biopsy,needle%Hemorrhage%Pneumothorax%Tomography,X-ray
目的 观察老年人与非老年人肺穿刺活检肺组织出血和气胸的发生情况.方法 CT定位下选用18G半自动槽式切割活检针,经皮经肺穿刺取材进行细胞学、组织学病理检查.297例患者根据年龄分为老年组(175例)和非老年组(122例),观察术后病理结果,比较两组发生气胸、出血等并发症情况.结果 297例中发生气胸108例(36.4％),老年组76例(43.4％),非老年组32例(26.2％),两组比较差异有统计学意义(x2 =9.19,P＜0.01).气胸程度两组比较,差异无统计学意义(均P＞ 0.05).肺组织出血156例(52.5％),其中老年组105例(60.0％),非老年组51例(41.8％),两组比较差异有统计学意义(x2=9.55,P＜0.01).片状出血比较,差异有统计学意义(x2 =20.28,P＜0.01).两组无气胸和出血与气胸并存出血比较,差异有统计学意义(x2值分别为18.41、9.04,均P＜0.01).结论 老年人肺穿刺活检成功率与非老年组无差异,但发生气胸和较大程度的出血高于非老年组.
目的 觀察老年人與非老年人肺穿刺活檢肺組織齣血和氣胸的髮生情況.方法 CT定位下選用18G半自動槽式切割活檢針,經皮經肺穿刺取材進行細胞學、組織學病理檢查.297例患者根據年齡分為老年組(175例)和非老年組(122例),觀察術後病理結果,比較兩組髮生氣胸、齣血等併髮癥情況.結果 297例中髮生氣胸108例(36.4％),老年組76例(43.4％),非老年組32例(26.2％),兩組比較差異有統計學意義(x2 =9.19,P＜0.01).氣胸程度兩組比較,差異無統計學意義(均P＞ 0.05).肺組織齣血156例(52.5％),其中老年組105例(60.0％),非老年組51例(41.8％),兩組比較差異有統計學意義(x2=9.55,P＜0.01).片狀齣血比較,差異有統計學意義(x2 =20.28,P＜0.01).兩組無氣胸和齣血與氣胸併存齣血比較,差異有統計學意義(x2值分彆為18.41、9.04,均P＜0.01).結論 老年人肺穿刺活檢成功率與非老年組無差異,但髮生氣胸和較大程度的齣血高于非老年組.
목적 관찰노년인여비노년인폐천자활검폐조직출혈화기흉적발생정황.방법 CT정위하선용18G반자동조식절할활검침,경피경폐천자취재진행세포학、조직학병리검사.297례환자근거년령분위노년조(175례)화비노년조(122례),관찰술후병리결과,비교량조발생기흉、출혈등병발증정황.결과 297례중발생기흉108례(36.4％),노년조76례(43.4％),비노년조32례(26.2％),량조비교차이유통계학의의(x2 =9.19,P＜0.01).기흉정도량조비교,차이무통계학의의(균P＞ 0.05).폐조직출혈156례(52.5％),기중노년조105례(60.0％),비노년조51례(41.8％),량조비교차이유통계학의의(x2=9.55,P＜0.01).편상출혈비교,차이유통계학의의(x2 =20.28,P＜0.01).량조무기흉화출혈여기흉병존출혈비교,차이유통계학의의(x2치분별위18.41、9.04,균P＜0.01).결론 노년인폐천자활검성공솔여비노년조무차이,단발생기흉화교대정도적출혈고우비노년조.
Objective To investigate the difference in occurrence of pneumothorax and bleeding under lung biopsy between the elderly and the non-elderly. Methods A total of 297 consecutive patients were involved in the study and divided into non- elderly group (＜ 60 yrs,122 cases),and elderly group (≥60 yrs,175 cases).Eighteen gauge (18G) cutting needles were used for biopsy with computed tomography (CT) guidance. Biopsy samples were detected by histology and cytology pathology. Results Pneumothorax occured in 108 of 297 biopsies (36.4％),pneumothorax rate was higher in elderly group (76 cases,43.4％) than in non-elderly group(32 cases,26.2％) (x2=9.19,P＜0.01).No statistical significance was found in different degrees of pneumothorax between the two groups.Perifocal hemorrhage occured in 156 of 297 biopsies (52.5％),higher frequency of hemorrhage occurred in elderly group (105 cases,60.0％) than in non-elderly group(51 cases,41.8％)(x2=9.55,P＜0.01),and the more flake bleeding vas found in elderly group than in nonelderly group(x2 =20.28,P＜0.01). Conclusions In CT guided coaxial cutting needle biopsy,the incidence of pneumothorax and considerably bleeding are higher in the elderly than in non-elderly.
