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Safety analysis of CT-guided core needle lung biopsy
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF TUBERCULOSIS AND RESPIRATORY DISEASES
- Issue:
- 2
- DOI:
- 10.3760/j:issn:1001-0939.2002.02.007
- Key Word:
- 体层摄影术,X线计算机( CT);活组织检查,针吸
Abstract： 目的分析应用切割穿刺针行CT引导下肺穿刺活检的安全性.方法选取连续的290例行CT引导下肺穿刺活检患者.回顾性总结CT引导下肺穿刺活检的并发症及其发生率与穿刺部位、穿刺针直径、穿刺针所经肺组织深度之间的关系.结果 290例行CT引导下肺穿刺活检的患者中,发生少量气胸69例(23.8%),中等量气胸11例(3.8%),肺内出血46例( 1 5.9%),皮下气肿1例(0.3%),咯血2例(0.7%),胸膜腔出血2例(0.7%),经统计学分析, 穿刺针所经肺组织深度不同的病例组之间,穿刺活检并发症的发生率的差异有显著性;穿刺针所经肺组织深度相同的病例中,不同部位之间穿刺活检的并发症的发生率的差异无显著性.[ HT5"H〗结论 CT引导下肺穿刺活检是一种可行的诊断方法.CT引导下肺穿刺活检并发症发生率以气胸和肺内出血为多见,发生率与病变所在部位关系不大,而随穿刺针经过肺组织的深度的增深而增高.
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