超声引导下穿刺活检胸部病变并发症的影响因素

发布时间：2018-05-18 00:24

本文选题：超声检查 + 胸部病变　；参考：《中国医学影像技术》2015年06期

【摘要】：目的分析影响超声引导下经皮穿刺活检胸部病变并发症的影响因素。方法收集因胸部病变行超声导引下穿刺活检术的178例患者资料,采用单因素和多因素Logistic回归分析方法,分析患者相关因素(性别、年龄)、病灶相关因素(病灶的大小、部位、性质、血供、病灶内有无坏死、病理类型)、操作相关因素(穿刺胸膜次数)对穿刺活检并发症发生率的影响。结果 178例患者均穿刺取材成功,穿刺诊断正确率为83.15%(148/178),并发症发生率为7.30%(13/178),其中出血发生率为6.18%(11/178);单因素分析结果显示病灶的大小、穿刺胸膜次数对并发症的发生率均有影响(P0.05);多因素分析结果显示穿刺胸膜次数为并发症发生率的危险因素(β=1.683),病灶的大小为保护因素(β=-0.999)。结论病灶的大小、胸膜穿刺次数是影响超声引导下穿刺活检胸部病变并发症发生率的独立影响因素,其中胸膜穿刺次数为危险因素,而病灶的大小为保护因素。
[Abstract]:Objective to analyze the factors influencing the complications of thoracic lesions in ultrasound-guided percutaneous biopsy. Methods the data of 178 patients with thoracic lesions undergoing ultrasound guided puncture biopsy were collected and analyzed by univariate and multivariate Logistic regression analysis (sex, age, lesion size and location). Nature, blood supply, necrosis in the lesion, pathological type, operative factors (pleural puncture times) on the incidence of complications of puncture biopsy. Results the accurate rate of puncture diagnosis was 83.15% / 1788%, and the incidence of complications was 7.30% / 1788%, in which the incidence of hemorrhage was 6.18% / 1780.The results of univariate analysis showed the size of the lesion. The frequency of pleural puncture had an effect on the incidence of complications (P 0.05), and the multiple factor analysis showed that the number of times of pleural puncture was the risk factor of complication (尾 -1.683), and the size of the lesion was the protective factor (尾 -0.999). Conclusion the size of the lesion and the number of pleural puncture are independent factors affecting the incidence of complications of thoracic lesions in ultrasound-guided biopsy, in which the number of pleural puncture is the risk factor, and the size of the lesion is the protective factor.
【作者单位】：广西医科大学附属肿瘤医院超声科;
【基金】：2015年度广西壮族自治区高等学校科学研究项目(KY2015LX064)
【分类号】：R655;R445.1

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