Volume 19 Issue 5
May  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(5): 771-774
ZHANG Guang-dong, YUAN Mei, LI Wu-hao, MEI Qi, TAN Yu-lin. Analysis of the main influencing factors of bleeding and pneumothorax complication under CT-guided lung biopsy[J]. Chinese Journal of General Practice, 2021, 19(5): 771-774. doi: 10.16766/j.cnki.issn.1674-4152.001913
Citation: ZHANG Guang-dong, YUAN Mei, LI Wu-hao, MEI Qi, TAN Yu-lin. Analysis of the main influencing factors of bleeding and pneumothorax complication under CT-guided lung biopsy[J]. Chinese Journal of General Practice, 2021, 19(5): 771-774. doi: 10.16766/j.cnki.issn.1674-4152.001913
shu

Analysis of the main influencing factors of bleeding and pneumothorax complication under CT-guided lung biopsy

doi: 10.16766/j.cnki.issn.1674-4152.001913

  • Department of Intervention, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2018A1020

 Byycxz1992

  • Received Date: 2020-09-13
    Available Online: 2022-02-16
    Abstract
  •   Objective  To explore the safety of CT-guided lung biopsy, analyze the high risk factors of bleeding and pneumothorax, and summarize the operational skills to reduce the incidence of bleeding and pneumothorax.  Methods  The clinical data of 285 patients with lung mass who underwent CT-guided lung biopsy in the first affiliated Hospital of Bengbu Medical College from September 2018 to April 2020 were analyzed retrospectively. The risk factors such as sex, age, tumor size, distance from pleura, puncture angle, puncture depth, puncture times, basic lung disease, lesion location, patient position and other related factors were divided into different grades. Chi-square test was used to analyze whether there were differences in the incidence of bleeding and pneumothorax among statistical data, and logistic regression was used to analyze the independent risk factors of bleeding and pneumothorax.  Results  CT-guided lung biopsy and puncture: a report of 285 cases, 52 (52/285, 18.25%) had bleeding and 43 (43/285, 15.09%) had pneumothorax. Univariate analysis showed that postoperative bleeding is related to the distance between the mass and the pleura and the depth of puncture needle (all P < 0.05). The occurrence of pneumothorax after surgery was related to factors such as the distance between the lesion and the pleura, the depth of puncture, the number of punctures, and basic lung disease (all P < 0.05). Logistic regression analysis analyzed that the puncture distance was an independent risk factor for bleeding; the basic lung disease, the number of punctures and the puncture distance were independent risk factors for pneumothorax.  Conclusion  CT-guided lung biopsy is safe and has fewer serious complications. Basic lung diseases, long puncture distance and more puncture times are the main risk factors of bleeding and pneumothorax in CT-guided lung biopsy. Reducing the number of punctures, avoiding pulmonary vesicles and cavities, and choosing a relatively short puncture path can effectively reduce the postoperative complications of lung biopsy.

     

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