Summary of lapse analysis and experience with CT-guided percutaneous lung biopsy / 实用放射学杂志

ABSTRACT

Objective To investigate the complications of CT-guided percutaneous lung biopsy(CT-PTNB)and its correlation with improper operation.Methods The clinical data of 360 patients who underwent lung tumor needle biopsy were collected.The complications occurred in the process of needle biopsy and their correlation with improper operation were summarized,and the experience was further summarized to increase the success rate of needle biopsy and reduce the occurrence of complications.Results Biopsy tissue was successfully obtained in all 360 patients.There were 84 cases with complications after puncture,including 67 cases with pneumothorax,59 cases with hemorrhage(5 cases with hemoptysis,59 cases with needle tract hemorrhage with pulmonary hemorrhage,6 cases with intrathoracic hemorrhage),9 cases with subcutaneous emphysema of chest wall,and 3 cases with chest wall puncture point pain,and all patients did not undergo surgical treatment.All patients recovered from symptomatic treatment such as bed rest,hemostasis,anti-inflammatory and oxygen inhalation.Only 6 patients with pneumothorax had increased volume of pneumothorax after operation and underwent closed thoracic drainage,and all of them were decannulated successfully.No air embolism and other rare complications occurred.Conclusion The appropriate puncture path should be selected according to the different conditions of the patient.At the same time,the anatomy of the chest wall and lung should be familiar with,and pay attention to all the details of the needle biopsy process to reduce the occurrence of errors.