Effect of CT-guided percutaneous lung puncture biopsy and nursing of postoperative complications_West China Medical Journal

Authors：

QIUPei , CHENGuizhi ,  TANXiaobo

Department of Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

TANXiaobo, Email: zqf841225@163.com

Keywords：

CT-guided percutaneous lung puncture biopsy; Effect; Postoperative complications; Nursing

DOI：

10.7507/1002-0179.201507005

Video：

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Objective To investigate the effect of CT-guided percutaneous lung puncture biopsy and nursing of postoperative complications. Methods We retrospectively analyzed the clinical data of 522 patients who underwent CT-guided percutaneous lung biopsy between May and August 2014 in the Department of Lung Cancer Center. Effect of the puncture biopsy, postoperative complications and nursing measures were summarized. Results After surgery, 507 cases of diagnosis were confirmed, 10 were not confirmed, and 5 cases of puncture were unsuccessful. There were 203 cases of complications, including 122 cases of pneumothorax (23.4%), 56 of hemoptysis 56 (10.7%), 20 of pleural effusion (3.8%), 4 of pleural reaction (0.8%), and 1 of mediastinal emphysema (0.2%). All the above complications were cured after positive symptomatic treatment and nursing care. There were no such complications as severe hemopneumothorax, severe hemoptysis or needle tract metastasis. Conclusions CT-guided percutaneous lung puncture biopsy is a safe and reliable method, but there are some patients with complications. Observation and postoperative care are particularly important. Timely detection and positive care will achieve satisfactory results.

Citation： QIUPei, CHENGuizhi, TANXiaobo. Effect of CT-guided percutaneous lung puncture biopsy and nursing of postoperative complications. West China Medical Journal, 2017, 32(1): 73-76. doi: 10.7507/1002-0179.201507005 Copy

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2.	Winn N, Spratt J, Wright E,et al. Patient reported experiences of CT guided lung biopsy: a prospective cohort study. Multidiscip Respir Med, 2014, 9(1): 53.
3.	Lee SM, Park CM, Lee KH,et al. C-arm cone-beam CT-guided percutaneous transthoracic needle biopsy of lung nodules: clinical experience in 1108 patients. Radiology, 2014, 271(1): 291-300.
4.	沈玉萍, 徐玲. 367 例 CT 引导下经皮肺活检术的护理体会. 临床肺科杂志, 2011, 16(10): 1653.
5.	吴三梅, 邵力伟. 护理干预对经皮肺穿刺活检术患者的影响. 齐鲁护理杂志, 2012, 18(17): 63-64.
6.	张磊, 庄一平, 张晋, 等. CT 引导下经皮肺活检术诊断正确率及并发症的影响因素. 临床肿瘤学杂志, 2011, 16(4): 342-345.
7.	徐惠萍, 王晓聪, 许利凯. CT 引导下经皮肺穿刺活检 38 例临床分析. 临床肺科杂志, 2009, 14(9): 1205-1206.
8.	李为春, 朱银喜. CT 引导下经皮肺穿刺对周围型肺部肿块的临床应用价值. 临床肺科杂志, 2006, 11(3): 395.
9.	刘莉娟. CT 引导下经皮肺穿刺的围术期护理. 当代护士: 专科版, 2012, 下旬刊(1): 128-129.
10.	顾广红, 李晓华, 邹海军. CT 引导下经皮肺肿块穿刺活检的临床研究. 实用临床医药杂志, 2010, 14(9): 125-126.
11.	Lattin Grant, O'brien William, Mccrary Brian,et al. Massive systemic air embolism treated with hyperbaric Oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule. J Vasc Interv Radiol, 2006, 17(8): 1355-1358.
12.	孙占国, 陈月芹. CT 引导下肺穿刺活检术并发体循环空气栓塞的研究进展. 国际医学放射学杂志, 2012, 35(2): 128-130.
13.	殷荣华. CT 引导下经皮肺穿刺活检及其并发症的护理. 实用临床医药杂志, 2011, 15(2): 38-39.
14.	赵亮, 周建辉, 吴小红. CT 引导下经皮肺穿刺活检对外周型肺部肿块的诊断价值. 赣南医学院学报, 2013, 33(1): 23-24.
15.	赵云. 208 例肺占位 CT 引导下经皮肺穿刺活检应用体会. 临床肺科杂志, 2014, 19(5): 815-817.
16.	Beslic S, Zukic F, Milisic S. Percutaneous transthoracic CT guided biopsies of lung lesions; fine needle aspiration biopsyversus core biopsy. Radiol Oncol, 2012, 46(1): 19-22.

1. 丁佳丽, 顾迪, 谈丽萍, 等. CT 引导下经皮肺穿刺的护理体会. 齐齐哈尔医学院院报, 2013, 34(2): 288.
2. Winn N, Spratt J, Wright E,et al. Patient reported experiences of CT guided lung biopsy: a prospective cohort study. Multidiscip Respir Med, 2014, 9(1): 53.
3. Lee SM, Park CM, Lee KH,et al. C-arm cone-beam CT-guided percutaneous transthoracic needle biopsy of lung nodules: clinical experience in 1108 patients. Radiology, 2014, 271(1): 291-300.
4. 沈玉萍, 徐玲. 367 例 CT 引导下经皮肺活检术的护理体会. 临床肺科杂志, 2011, 16(10): 1653.
5. 吴三梅, 邵力伟. 护理干预对经皮肺穿刺活检术患者的影响. 齐鲁护理杂志, 2012, 18(17): 63-64.
6. 张磊, 庄一平, 张晋, 等. CT 引导下经皮肺活检术诊断正确率及并发症的影响因素. 临床肿瘤学杂志, 2011, 16(4): 342-345.
7. 徐惠萍, 王晓聪, 许利凯. CT 引导下经皮肺穿刺活检 38 例临床分析. 临床肺科杂志, 2009, 14(9): 1205-1206.
8. 李为春, 朱银喜. CT 引导下经皮肺穿刺对周围型肺部肿块的临床应用价值. 临床肺科杂志, 2006, 11(3): 395.
9. 刘莉娟. CT 引导下经皮肺穿刺的围术期护理. 当代护士: 专科版, 2012, 下旬刊(1): 128-129.
10. 顾广红, 李晓华, 邹海军. CT 引导下经皮肺肿块穿刺活检的临床研究. 实用临床医药杂志, 2010, 14(9): 125-126.
11. Lattin Grant, O'brien William, Mccrary Brian,et al. Massive systemic air embolism treated with hyperbaric Oxygen therapy following CT-guided transthoracic needle biopsy of a pulmonary nodule. J Vasc Interv Radiol, 2006, 17(8): 1355-1358.
12. 孙占国, 陈月芹. CT 引导下肺穿刺活检术并发体循环空气栓塞的研究进展. 国际医学放射学杂志, 2012, 35(2): 128-130.
13. 殷荣华. CT 引导下经皮肺穿刺活检及其并发症的护理. 实用临床医药杂志, 2011, 15(2): 38-39.
14. 赵亮, 周建辉, 吴小红. CT 引导下经皮肺穿刺活检对外周型肺部肿块的诊断价值. 赣南医学院学报, 2013, 33(1): 23-24.
15. 赵云. 208 例肺占位 CT 引导下经皮肺穿刺活检应用体会. 临床肺科杂志, 2014, 19(5): 815-817.
16. Beslic S, Zukic F, Milisic S. Percutaneous transthoracic CT guided biopsies of lung lesions; fine needle aspiration biopsyversus core biopsy. Radiol Oncol, 2012, 46(1): 19-22.

West China Medical Journal

Effect of CT-guided percutaneous lung puncture biopsy and nursing of postoperative complications

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