Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Medical Journal of Wuhan University》 2009-06
Add to Favorite Get Latest Update

Factors Related to the Complications in CT-Guided Percutaneous Lung Automated Cutting Needle Biopsy

LIAO Meiyan1,ZHOU Yunfeng2,TIAN Zhixiong1,ZHANG Zaipeng1,Xu Liying1,LUO Rui11Dept. of Radiology,2Dept. of Radio-Chemotherapy,Zhongnan Hospital of Wuhan University,Wuhan 430071,China  
Objective:To evaluate the complication rate of CT-guided percutaneous lung automated core needle biopsies (ACNB) with extrapleural locating method (EPL) and to analyze the impact of multiple factors on the incidence of pulmonary hemorrhage and pneumothorax. Methods:The signs of complication after 352 cases of CT-guided ACNB with EPL were observed and their relationship with multiple factors were analyzed by a multiple logistic regression model. Results:The final diagnostic accuracy was made in 334 cases (94.9%). Mean puncture time was (16.0±2.0) min. Eighty (22.7%) cases presented pulmonary hemorrhage and 18 (5.1%) presented hemoptysis. Single variate analysis showed that the sign of hemorrhage related to lesion diameter,pulmonary atelectasis,length of intrapulmonal biopsy path,and number of pleural needle passes. The multivariate logistic regression analysis showed that pulmonary atelectasis was protective factors (OR=0.321) of pulmonary hemorrhage. Sixty (17.0%) cases presented pneumothorax including 5 cases of later pneumothorax,2 (0.6%) cases required chest tube insertions. Single variate analysis showed that the sign of hemorrhage related to lesion size,chronic obstructive pulmonary disease (COPD),length of intrapulmonal biopsy path,and number of pleural needle passes. The multivariate logistic regression analysis showed that COPD and lesion diameter were risk factors of pneumothorax (OR=11.224,2.556 respectively). One case with pulmonary cryptococcus presented pleural reaction,and one case had the insistent pain. The total number of severe complications was 5 (1.4%) cases. Conclusion:ACNB with EPL is an accurate method for diagnosing pulmonary lesions. Pulmonary atelectasis could reduce bleeding rate. Patients with COPD and smaller lesion diameter significantly increase the risk of pneumothorax. Later and severe complications should be considered during the procedure.
【CateGory Index】: R814.42
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
Chinese Journal Full-text Database 1 Hits
1 ZHONG Tao,YU Hong-guang WANG Yong YANG Si-fu WANG Xiao-xuan Department of Radiology,Puyang City Oil-Field General Hospital,Henan Province,Puyang 457001,China;The factor analysis of the incidence of pneumothorax after CT-guided transthoracic needle aspiration biopsy[J];Chinese Journal of Radiology;2007-11
Chinese Journal Full-text Database 9 Hits
1 Zhang Weichun, Luo Dongliang, Wu Anping Department of CT, the Second People's Hospital of Chuzhou, Chuzhou 239000;The clinical value of CT-guided percutanous biopsy in diagnosis of lung disease[J];Anhui Medical Journal;2009-06
2 JIN Ju,YANG Gang,LI Jin(Department of Respiratory,The Second Hospital of Wuhu,Wuhu 241000,China);Chest biopsy by CT-guided percutaneous fine needle punctures:Report of 33 cases[J];Journal of Bengbu Medical College;2007-05
3 XU Biao, CHEN Gang, WEI Lu. Department of Radiology, The Fifth Affiliated Hospital, Guangxi Medical University, Liuzhou 545001, China;MSCT-guided percutaneous transthoracic biopsy of lung lesions by using BARD gun: Its clinical application[J];Journal of Interventional Radiology;2009-01
4 LI Zhong-fu ZHU zhao-xing SONG Xian-ren LV wen-tao CHEN Gang Medical Imaging Center, Hospital of Jiugang, Jiayuguan Gansu 735100,China;Clinical application of lung biopsy by CT-guided percutaneous paracentesis (a report of 52 cases)[J];Contemporary Medicine(Chinese Journal of Interventional Radiology);2008-04
5 LI Yuekao, SHI Gaofeng, WANG Yaning,et al.CT Section,The Forth Hospital of Hebei Medical University,Shijiazhuang,Hebei Province 050011,P.R.China;The Value of CT-guided Percutaneous Transthoracic Needle Biopsy in Patients with Pneumonic Diseases[J];Journal of Clinical Radiology;2008-12
6 WANG Hui, JI Hong-jian, YAO Qiu-ju, CHEN Li-ping, ZHANG Fu-chen. Department of Respiratory Diseases, No.85 Hospital of PLA, Shanghai 200052, China;CT-guided transthoracic cutting needle lung biopsy: its clinical application in diagnosing diffuse lung diseases[J];Journal of Interventional Radiology;2009-09
7 XU Biao,CHEN Gang,WEI Lu,et al;Clinical application of transcutaneous lung biopsy under multi-slice spiral CT-guided[J];Journal of Medical Imaging;2008-11
8 XIAO Baochen The 1st People’s Hospital of Heihe,Heilongjiang 164300;CT-guided Biopsy in Remote,Alpine Area of Clinical Value[J];China Modern Doctor;2009-04
9 YU Lei, FENG Guosheng, LIU Yuheng, HUANG Min, XU Zhiyong (Department of Oncology, People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530021, P.R.China);Clinical study of transthoracic needle biopsy with CT guidance for mediastinal masses[J];China Journal of Modern Medicine;2009-18
【Secondary Citations】
Chinese Journal Full-text Database 3 Hits
1 ZHANG Xue-mei.Department of Radiology,Southwest Hospital, the Third Millitary Medical University,Chongqing 400038,P.R.China;The Influence of Lung Lesion′s Factors to the Complication Rate in the Process of CT Guided Percutaneous Transthoracic Lung Biopsy[J];Radiologic Practice;2005-06
2 ZHU Qi, WANG Kun, REN Ran. Department of Radiology, Sihong County Hospital, Jiangsu Province 223900, China;Analysis on the occurance rate of pneumothorax after percutaneous pneumocentesis[J];Journal of Interventional Radiology;2001-02
3 Li Chengzhou,Liu Shiyuan,Xiao Xiangsheng,et alDepartment of Radiology,Changzheng Hospital,The Second Military Medical University,Shanghai 200003;Transthoracic Needle Biopsy under CT Guidance(a Report of 320 Cases)[J];Chinese Journal of Medical Computed Imaging;2001-06
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved