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《Radiologic Practice》 2005-06
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The Influence of Lung Lesion′s Factors to the Complication Rate in the Process of CT Guided Percutaneous Transthoracic Lung Biopsy

ZHANG Xue-mei.Department of Radiology,Southwest Hospital, the Third Millitary Medical University,Chongqing 400038,P.R.China  
Objective:The compare the complication rates of CT-guided percutaneous transthoracic lung biopsy for pulmonary lesions with different size,depth and location,and to explore the possible factors about lesions to the complication rate.Methods:CT-guided percutaneous transthoracic lung biopsy was performed in 184 cases.All lesions were divided into some groups according to the size,depth and lesion.Of the 184 lesions,122 were larger than or equal to 3cm in diameter and 62 were smaller than 3cm.98 were more than or equal to 2cm in depth and 86 were lesser than 2cm and 28 lesions located in upper lung field,61 in middle field,and 95 in lower field.The complication rates between the groups were statistically analyzed.Results:For lesions smaller than 3cm,the pneumothorax rate was 19.23% and bleeding rate was 44.19%;significantly higher than those larger than or equal to 3cm,in which the pneumothorax rate and bleeding rate were 5.17% and 15.09% respectively.The occurrence of pneumothorax and bleeding for lesions 2cm or more than 2cm deep were 13.27% and (25.51%) respectively,significantly higher than those lesser than 2cm in depth (3.49% and 11.63%).There was no significant difference among the complication rates for lesions with different lung field location.Conclusion:Lesion size and lesion depth are significant factors related to the occurrence of complications in the process of CT-guided percutaneous transthoracic lung biopsy.
【CateGory Index】: R814.42
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