Summary of lapse analysis and experience with CT-guided percutaneous lung biopsy
10.3969/j.issn.1002-1671.2024.02.028
- VernacularTitle:CT引导下经皮肺穿刺活检失误分析及经验总结
- Author:
Zhenxing DING
1
;
Yongle HOU
;
Shengjie LIU
;
Lin LI
Author Information
1. 天津市泰达医院胸外科,天津 300457
- Keywords:
lung needle biopsy;
puncture path;
body surface localization;
complications;
improper operation
- From:
Journal of Practical Radiology
2024;40(2):293-296
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the complications of CT-guided percutaneous lung biopsy(CT-PTNB)and its correlation with improper operation.Methods The clinical data of 360 patients who underwent lung tumor needle biopsy were collected.The complications occurred in the process of needle biopsy and their correlation with improper operation were summarized,and the experience was further summarized to increase the success rate of needle biopsy and reduce the occurrence of complications.Results Biopsy tissue was successfully obtained in all 360 patients.There were 84 cases with complications after puncture,including 67 cases with pneumothorax,59 cases with hemorrhage(5 cases with hemoptysis,59 cases with needle tract hemorrhage with pulmonary hemorrhage,6 cases with intrathoracic hemorrhage),9 cases with subcutaneous emphysema of chest wall,and 3 cases with chest wall puncture point pain,and all patients did not undergo surgical treatment.All patients recovered from symptomatic treatment such as bed rest,hemostasis,anti-inflammatory and oxygen inhalation.Only 6 patients with pneumothorax had increased volume of pneumothorax after operation and underwent closed thoracic drainage,and all of them were decannulated successfully.No air embolism and other rare complications occurred.Conclusion The appropriate puncture path should be selected according to the different conditions of the patient.At the same time,the anatomy of the chest wall and lung should be familiar with,and pay attention to all the details of the needle biopsy process to reduce the occurrence of errors.
