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

1.	丁佳麗, 顧迪, 談麗萍, 等. CT 引導下經皮肺穿刺的護理體會. 齊齊哈爾醫學院院報, 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 引導下經皮肺活檢術的護理體會. 臨床肺科雜志, 2011, 16(10): 1653.
5.	吳三梅, 邵力偉. 護理干預對經皮肺穿刺活檢術患者的影響. 齊魯護理雜志, 2012, 18(17): 63-64.
6.	張磊, 莊一平, 張晉, 等. CT 引導下經皮肺活檢術診斷正確率及并發癥的影響因素. 臨床腫瘤學雜志, 2011, 16(4): 342-345.
7.	徐惠萍, 王曉聰, 許利凱. CT 引導下經皮肺穿刺活檢 38 例臨床分析. 臨床肺科雜志, 2009, 14(9): 1205-1206.
8.	李為春, 朱銀喜. CT 引導下經皮肺穿刺對周圍型肺部腫塊的臨床應用價值. 臨床肺科雜志, 2006, 11(3): 395.
9.	劉莉娟. CT 引導下經皮肺穿刺的圍術期護理. 當代護士: 專科版, 2012, 下旬刊(1): 128-129.
10.	顧廣紅, 李曉華, 鄒海軍. CT 引導下經皮肺腫塊穿刺活檢的臨床研究. 實用臨床醫藥雜志, 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.	孫占國, 陳月芹. CT 引導下肺穿刺活檢術并發體循環空氣栓塞的研究進展. 國際醫學放射學雜志, 2012, 35(2): 128-130.
13.	殷榮華. CT 引導下經皮肺穿刺活檢及其并發癥的護理. 實用臨床醫藥雜志, 2011, 15(2): 38-39.
14.	趙亮, 周建輝, 吳小紅. CT 引導下經皮肺穿刺活檢對外周型肺部腫塊的診斷價值. 贛南醫學院學報, 2013, 33(1): 23-24.
15.	趙云. 208 例肺占位 CT 引導下經皮肺穿刺活檢應用體會. 臨床肺科雜志, 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. 丁佳麗, 顧迪, 談麗萍, 等. CT 引導下經皮肺穿刺的護理體會. 齊齊哈爾醫學院院報, 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 引導下經皮肺活檢術的護理體會. 臨床肺科雜志, 2011, 16(10): 1653.
5. 吳三梅, 邵力偉. 護理干預對經皮肺穿刺活檢術患者的影響. 齊魯護理雜志, 2012, 18(17): 63-64.
6. 張磊, 莊一平, 張晉, 等. CT 引導下經皮肺活檢術診斷正確率及并發癥的影響因素. 臨床腫瘤學雜志, 2011, 16(4): 342-345.
7. 徐惠萍, 王曉聰, 許利凱. CT 引導下經皮肺穿刺活檢 38 例臨床分析. 臨床肺科雜志, 2009, 14(9): 1205-1206.
8. 李為春, 朱銀喜. CT 引導下經皮肺穿刺對周圍型肺部腫塊的臨床應用價值. 臨床肺科雜志, 2006, 11(3): 395.
9. 劉莉娟. CT 引導下經皮肺穿刺的圍術期護理. 當代護士: 專科版, 2012, 下旬刊(1): 128-129.
10. 顧廣紅, 李曉華, 鄒海軍. CT 引導下經皮肺腫塊穿刺活檢的臨床研究. 實用臨床醫藥雜志, 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. 孫占國, 陳月芹. CT 引導下肺穿刺活檢術并發體循環空氣栓塞的研究進展. 國際醫學放射學雜志, 2012, 35(2): 128-130.
13. 殷榮華. CT 引導下經皮肺穿刺活檢及其并發癥的護理. 實用臨床醫藥雜志, 2011, 15(2): 38-39.
14. 趙亮, 周建輝, 吳小紅. CT 引導下經皮肺穿刺活檢對外周型肺部腫塊的診斷價值. 贛南醫學院學報, 2013, 33(1): 23-24.
15. 趙云. 208 例肺占位 CT 引導下經皮肺穿刺活檢應用體會. 臨床肺科雜志, 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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