Analysis of risk factors for complications after CT-guided percutaneous transthoracic needle biopsy in the plateau environment
10.3969/j.issn.1002-1671.2024.05.027
- VernacularTitle:高原环境下CT引导经皮肺穿刺活检术后并发症的危险因素分析
- Author:
Hengwei WANG
1
;
Gang LIU
;
Hui HE
;
Xiaoting XIE
;
Baokui ZHAO
;
Liang YAO
Author Information
1. 青海大学研究生院,青海 西宁 810016
- Keywords:
percutaneous transthoracic needle biopsy;
pneumothorax;
pulmonary hemorrhage;
risk factors
- From:
Journal of Practical Radiology
2024;40(5):796-799
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors of complications after CT-guided percutaneous transthoracic needle biopsy(PTNB)in the plateau environment.Methods A total of 858 patients who underwent CT-guided PTNB were selected,and the clini-cal data of patients,imaging features of lesions,information related to puncture operation,complications,and pathological results were analyzed retrospectively,then the independent risk factors of postoperative pneumothorax and pulmonary hemorrhage were summarized.Results Among 858 patients with lung biopsy,816 cases(95.1％)were successfully sampled,including 203 cases(23.7％)in the pneumothorax and 140 cases(16.3％)in the pulmonary hemorrhage.The statistical analysis results of the pneumo-thorax revealed significant differences in lesion location and lesion size(P＜0.05).The statistical analysis results of the pulmonary hemorrhage showed significant differences in lesion location,lesion size,puncture angle and puncture depth(P＜0.05).Independent risk factors affecting pneumothorax and pulmonary hemorrhage were illustrated in a forest plot.Conclusion Because the oxygen partial pressure and climate temperature are relatively low in the plateau environment,the cardiopulmonary function of patients will be affected by the living environment.Therefore,on the premise of ensuring the success rate of CT-guided PTNB,the optimal path and timing should be selected to reduce the risk of complications.
