The diagnostic accuracy and safety of CT-guided percutaneous lung biopsy in ≥80 years patients
10.3969/j.issn.1008-794X.2025.04.014
- VernacularTitle:CT引导下经皮肺穿刺活检在80岁及以上患者中的诊断准确性及安全性
- Author:
Hao LI
1
;
Mu YUAN
Author Information
1. 233000 安徽蚌埠 蚌埠医科大学第一附属医院介入科
- Keywords:
CT-guided percutaneous lung biopsy;
lung neoplasm;
elderly patient;
diagnostic accuracy;
complication;
risk factor
- From:
Journal of Interventional Radiology
2025;34(4):414-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnostic accuracy and clinical safety of CT-guided percutaneous lung biopsy in ≥80 years patients.Methods A total of 400 patients who underwent CT-guided percutaneous lung biopsy were enrolled in this study.There were 79 patients aged ≥80 years(≥80 group)and 321 patients aged＜80 years(＜80 group).The diagnostic accuracy and complications of CT-guided percutaneous lung biopsy were compared between the two groups.Multivariate logistic regression analysis was used to assess the relevant risk factors for the occurrence of complications in patients aged ≥80 years.Results No statistically significant differences in the incidence of complications(including pneumothorax,pulmonary hemorrhage,hemoptysis,etc.)existed between the two groups(P＞0.05).In ≥80 group and＜80 group,the diagnostic accuracy was 97.47％and 97.51％respectively,the sensitivity was 97.10％and 97.17％respectively,both the specificity and positive predictive value were 100％,and the negative predictive value was 83.33％and 82.61％respectively,the differences in the above indexes between the two groups were not statistically significant(all P＞0.05).In ≥80 group,the lesion size and the number of intraoperative needle direction adjustments were the independent risk factors for causing pulmonary hemorrhage(OR=0.429,9.429,P＜0.05).Conclusion For 80 years patients,CT-guided percutaneous lung biopsy is clinical safe with high diagnostic accuracy.The incidence of complications and diagnostic accuracy of CT-guided percutaneous lung biopsy in patients aged ≥80 years are not significantly different from those in patients aged＜80 years.
