Predictive complication factors for CT-guided fine needle aspiration biopsy of pulmonary lesions.
Predictive complication factors for CT-guided fine needle aspiration biopsy of pulmonary lesions.
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DOI：
10.1590/s1807-59322010000900006
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Gross JL
中科院分区：
文献类型：
--
作者：
Guimarães MD;Andrade MQ;Fonte AC;Benevides G;Chojniak R;Gross JL
不同方面可能会影响肺部病变计算机断层扫描引导下经皮细针穿刺活检的并发症发生率。本研究的目的是确定放射技术和临床特征在预测该手术并发症中的影响。开展了一项回顾性研究，涉及340例患者，这些患者在1996年7月至2004年6月期间使用22号针（千叶）接受了连续系列的362例肺部病变计算机断层扫描引导细针抽吸活检。研究了病变的放射学特征、继发性肺部放射学发现、合并症和手术相关方面等变量。病灶直径9 ~ 140 mm，平均51.5 ± 24.3 mm，中位数40 mm。病变深度10 ~ 130 mm，平均44 ± 20.9 mm，中位52 mm。并发症52例（14.4%），其中气胸40例（11.1%），咯血7例（1.9%），血肿4例（1.1%）。未接触胸膜且病变和胸膜之间存在正常肺组织的病变的并发症发生率（22例（22%））高于接触胸膜的病变（6例（9%）），差异具有统计学意义（p = 0.03）。 在我们的研究中，CT引导下经皮肺病变细针抽吸活检的并发症发生率较低，并且在缺乏胸膜接触的病变中并发症发生率较高。
Distinct aspects can influence the complication rates of computed tomography‐guided percutaneous fine needle aspiration biopsy of lung lesions. The purpose of the current study is to determine the influence of radiological techniques and clinical characteristics in predicting complications from this procedure. A retrospective study was developed involving 340 patients who were submitted to a consecutive series of 362 computed tomography‐guided fine needle aspiration biopsies of lung lesions between July 1996 and June 2004, using 22‐gauge needles (CHIBA). Variables such as the radiological characteristics of the lesions, secondary pulmonary radiological findings, co‐morbidities, and aspects concerning the procedure were studied. The diameters of the lung lesions varied from 9 to 140 mm, with a mean of 51.5 ± 24.3 mm and median of 40 mm. The depth of the lesions varied from 10 mm to 130 mm, with a mean of 44 ± 20.9 mm, and median median of 52 mm. Complications occurred in 52 (14.4%) cases, pneumothorax being the most frequent, with 40 (11.1%) cases, followed by hemoptisis with 7 (1.9%) cases, and hematoma with 4 (1.1%) cases. Lesions that did not contact the pleura, with normal pulmonary tissue interposition between lesion and pleura, had higher complication rates, with 22 (22%) cases, than lesions that contact the pleura, with 6 (9%) cases, with a statistically significant difference (p = 0.03). CT‐guided percutaneous fine needle aspiration biopsy of lung lesions had a lower rate of complications in our study and presented more rates of complications on lesions that lack pleural contact.
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影响因子：
1.4
作者：
Chojniak, Rubens;Isberner, Rony Klaus;Soares, Fernando Augusto
通讯作者：
Soares, Fernando Augusto
影响因子：
2.1
作者：
Yankelevitz, DF;Henschke, CI;Libby, D
通讯作者：
Libby, D
影响因子：
2.6
作者：
Ng, Y. L.;Patsios, D.;Weisbrod, G.
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Weisbrod, G.
影响因子：
5
作者：
Li, HQ;Boiselle, PM;McLoud, TC
通讯作者：
McLoud, TC
影响因子：
3.3
作者：
Miller, JA;Pramanik, BK;Lavenhar, MA
通讯作者：
Lavenhar, MA