CT导引下肺内病变穿刺活检影响气胸发生率因素分析

被引：90

作者：

黄振国

张雪哲

王武

卢延

任安

洪闻

机构：

[1] 北京中日友好医院放射科

来源：

临床放射学杂志 | 2003年 / 07期

关键词：

放射学,介入; 活体组织检查; 胸部病变; 气胸;

D O I：

10.13437/j.cnki.jcr.2003.07.025

中图分类号：

R814.42 [电子计算机扫描];

学科分类号：

1001 ; 100105 ; 100207 ; 100602 ;

摘要：

目的　探讨CT导引下肺内病变穿刺活检影响气胸发生率的因素。资料与方法　回顾复习肺内病变CT导引下穿刺活检 4 38例 ,观察因素包括患者相关因素 (性别、年龄 )、病灶相关因素 (病变的性质、病灶大小、位置、有无空腔 )、操作相关因素 (患者的体位、胸膜穿刺次数、活检所用时间、穿刺路径通过的肺组织有无肺气肿、穿刺路径经过通气肺组织的长度 )。对所有观察因素分别进行单因素和多元逐步Logistic回归分析观察其对气胸发生率的影响。结果　 (1) 4 38例中 5 9例 (13.5 % )发生气胸 ,其中 4例 (0 .9% )需胸部导管引流。单因素分析显示病灶大小(F =2 .0 88,P =0 .0 38)、胸膜穿刺次数 (χ2 =34.87,P <0 .0 0 1)、活检所用时间 (F =4 .2 0 9,P <0 .0 0 1)、穿刺路径通过的肺组织有无肺气肿 (χ2 =8.5 0 ,P =0 .0 0 4 )、穿刺路径经过通气肺组织的长度 (F =4 .84 2 ,P <0 .0 0 1)均是影响气胸发生率的相关因素 ;(2 )多元逐步Logistic回归分析显示胸膜穿刺次数 (waldχ2 =18.6 5 4 ,P =0 .0 0 0 1)、穿刺路径通过的肺组织有无肺气肿 (waldχ2 =10 .6 5 9,P =0 .0 0 1)和穿刺路径经过通气肺组织的长度 (waldχ2 =10 .16 9,P =0 .0 0 1)被列入回归方程。结论　胸膜穿刺次数、穿刺路径经过的肺组织有无肺气肿和

引用

页码：582 / 585

页数：4

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