目的 探讨CT引导下经同轴套管针肺部病变穿刺活检术并发症的原因、预防和处理.方法 回顾性分析2013年8月~2016年7月37例在我院行肺部肿块CT引导经同轴套管针,经皮肺穿刺活检术的患者的资料,对并发症发生情况进行统计,分析其相关的危险因素.结果 37例穿刺全部成功,成功率100%.出现的并发症中气胸占27%、少量胸腔积液8.1%、肺出血5.4%、咯血13.5%、穿刺口出血24.3%.结论 该技术并发症轻微、发生率低,严重并发症少见,较为安全,积极预防和处理并发症非常重要.
Objective The purpose of this study was to investigate the complications and risk factors of CT -guided percutane-ous needle biopsy for pulmonary mass with coaxial trocar.Methods A retrospective analysis of 37 cases of CT-guided percutane-ous lung biopsy in our hospital from August 2013 to July 2016 was performed to analyze the data of the patients who underwent percutaneous lung biopsy,and to analyze the related risk factors.Results Success rate of biopsy of these 37 cases was 100%. As far as complications were concerned, incidence rate of pneumothorax, slight pleural effusion, hemorrhage, hemoptysis and puncture spot bleeding were 27%,8.1%,5.4%,13.5%,and 24.3%,respectively.Conclusion Pulmonary biopsy using co-axial trocar under CT was an accurate,simple and safe method for diagnosis of pulmonary diseases with low risk of significant com-plications.