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目的:探讨在多层螺旋CT引导下经皮肺穿刺活检并发症的因素。方法:回顾性分析228例多层螺旋CT引导下经皮肺穿刺活检的资料,对并发症的发生率、分类进行统计,找出并发症原因及防治方法。结果:病灶穿刺成功率99.56%,术后发生并发症84例(36.84%),其中气胸26例(11.4%),肺出血38例(16.6%),咯血7例(3%),胸腔积液13例(5.7%)。气胸、出血等并发症的发生除与患者呼吸配合情况、病灶大小、部位、穿刺技术有关外,还与病灶周围结构的观察、穿刺深度、角度的测量、穿刺针选择、术后正确的护理等因素有关。结论:掌握并发症发生的各种因素及其相应预防措施,可以减少并发症的发生率。
Objective: To explore the factors of complications of percutaneous pulmonary puncture biopsy guided by multi-slice spiral CT. Methods: A retrospective analysis of 228 cases of multi-slice spiral CT guided percutaneous pulmonary biopsy data, the incidence of complications, classification statistics to find out the causes of complications and prevention methods. Results: The successful rate of puncture was 99.56%, and the incidence of postoperative complications was 84 (36.84%). Among them, 26 cases (11.4%) had pneumothorax, 38 cases (16.6%) had pulmonary hemorrhage, 7 cases 13 cases (5.7%). Pneumothorax, bleeding and other complications in addition to respiratory and patient with the situation, the size of the lesion, puncture technology, but also with the observation of the surrounding structure of the lesion, puncture depth, angle measurement, needle selection, postoperative correct care Factors related. Conclusion: To master the various complications and their corresponding preventive measures can reduce the incidence of complications.