CAJ | 학술논문

目的探讨CT引导下经皮肺穿刺活检术的并发症及其相关危险因素.方法回顾性分析本院592例胸部肿瘤并行CT引导下经皮穿刺活检术患者的临床资料,采用χ2检验先分别比较不同危险因素各自的并发症百分率,再比较不同危险因素下总的并发症发生率.结果 CT引导下经皮穿刺活检术病理确诊率为96.5%;并发症发生率约22.0%,合并慢性阻塞性肺疾病,病灶直径小,病灶距胸壁距离远,合并病灶周围病变及KPS评分低者并发症发生率明显高于无上述因素者(P<0.05),而病灶所在不同部位的并发症发生率比较差异无统计学意义(P>0.05).结论 CT引导下经皮肺穿刺活检术是一种安全且准确率高的诊断技术.
목적 탐토CT인도하경피폐천자활검술적병발증급기상관위험인소.방법 회고성분석본원592례흉부종류병행CT인도하경피천자활검술환자적림상자료,채용χ2검험선분별비교불동위험인소각자적병발증백분솔,재비교불동위험인소하총적병발증발생솔.결과 CT인도하경피천자활검술병리학진솔위96.5%;병발증발생솔약22.0%,합병만성조새성폐질병,병조직경소,병조거흉벽거리원,합병병조주위병변급KPS평분저자병발증발생솔명현고우무상술인소자(P<0.05),이병조소재불동부위적병발증발생솔비교차이무통계학의의(P>0.05).결론 CT인도하경피폐천자활검술시일충안전차준학솔고적진단기술.
Objective To explore the complications and associated risk factors induced by CT-guided percu-taneous lung biopsy. Methods The clinical data of 592 patients with lung tumor who underwent CT-guided percuta-neous lung biopsy was analyzed retrospectively. The percentage of the complications caused by different risk factors were compared, and then the overall incidence of complications of different risk factors were compared. Results The pathological diagnosis rate was 96.5% by CT-guided percutaneous biopsy. The complication rate was approximately 22.0%, with chronic obstructive pulmonary disease of small lesion diameter and long distance from the chest wall. The complication rates for patients with peripheral lesions of the lesions and lower KPS score were significantly high-er than those without the above factors (P<0.05), and the rates for the lesions located in different parts showed no sta-tistically significant difference (P>0.05). Conclusion CT-guided percutaneous lung biopsy is a safe diagnostic tech-nique with highly accuracy.