Diagnostic significance of CT-guided percutaneous needle aspiration biopsy and analysis in complications

YE Yunyao; WANG Weicheng; SUN Guangzhi; XIAO Wei; ZHANG Sihui; HAN Gaohua

doi:10.7619/jcmp.20210595

Journal of Clinical Medicine in Practice > 2021 > 25(13): 72-75, 80. > DOI: 10.7619/jcmp.20210595

YE Yunyao, WANG Weicheng, SUN Guangzhi, XIAO Wei, ZHANG Sihui, HAN Gaohua. Diagnostic significance of CT-guided percutaneous needle aspiration biopsy and analysis in complications[J]. Journal of Clinical Medicine in Practice, 2021, 25(13): 72-75, 80. DOI: 10.7619/jcmp.20210595

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Diagnostic significance of CT-guided percutaneous needle aspiration biopsy and analysis in complications

1.
Department of Oncology, Taizhou People's Hospital of Jiangsu Province, Taizhou, Jiangsu, 225300
2.
Radiation Therapy Center, Taizhou People's Hospital of Jiangsu Province, Taizhou, Jiangsu, 225300
3.
Department of Pathology, Taizhou People's Hospital of Jiangsu Province, Taizhou, Jiangsu, 225300

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Received Date: February 02, 2021
Available Online: July 07, 2021
Published Date: July 14, 2021

Graphical Abstract

Abstract

Abstract

Objective To analyze diagnostic significance of CT-guided percutaneous needle aspiration biopsy(CT-PTNB)and complications.
Methods Fifty-one patients receiving CT-PTNB were selected as research objects. Pathological diagnosis rate and postoperative complication rate of 51 patients were recorded and analyzed.
Results Among the 51 patients, 48 cases were confirmed by one time biopsy and 2 cases were confirmed by second time biopsy, with a total diagnosis rate of 98.0%(50/51). Five patients developed pneumothorax after surgery, and the occurrence of pneumothorax was significantly related to affected side emphysema and lesion maximum diameter (P < 0.05). Local hemorrhage in the lung field occurred in 12 cases after surgery, and a small amount of hemoptysis occurred in 2 cases during the operation. The occurrence of bleeding was significantly related to hypertension, lesion maximum diameter and lesion depth (P < 0.05).
Conclusion CT-PTNB is of great significance for the diagnosis and treatment of lung diseases, especially tumors, and its complication rate is low.
- percutaneous lung biopsy,
- neumothorax,
- bleeding,
- complication,
- pulmonary lesions,
- focus

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References (14)

References

[1]	WANG S, TU J, CHEN W. Development and validation of a prediction pneumothorax model in CT-guided transthoracic needle biopsy for solitary pulmonary nodule[J]. Biomed Res Int, 2019, 2019: 7857310. http://www.researchgate.net/publication/332883475_Development_and_Validation_of_a_Prediction_Pneumothorax_Model_in_CT-Guided_Transthoracic_Needle_Biopsy_for_Solitary_Pulmonary_Nodule
[2]	寇咏, 王瑶. CT引导经皮肺穿刺活检对肺部病变的诊断意义及并发症原因分析[J]. 中国实验诊断学, 2019, 23(11): 1896-1899. doi: 10.3969/j.issn.1007-4287.2019.11.008
[3]	刘佳琳, 黄志兵, 周军, 等. CT引导下经皮肺穿刺活检术的临床应用及并发症的分析[J]. 中华肺部疾病杂志: 电子版, 2019, 12(6): 767-769. doi: 10.3877/cma.j.issn.1674-6902.2019.06.023
[4]	杨二乐. CT引导下经皮肺穿刺活检术在肺肿瘤定性诊断中的应用价值[J]. 世界最新医学信息文摘, 2019, 19(48): 101. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201948070.htm
[5]	李雪, 张申众, 袁秀敏, 等. CT引导下经皮肺穿刺活检诊断早期肺癌的意义及其与超声的对比分析[J]. 实用癌症杂志, 2019, 34(4): 603-606. doi: 10.3969/j.issn.1001-5930.2019.04.024
[6]	TUNA T, OZKAYA S, DIRICAN A, et al. Diagnostic efficacy of computed tomography-guided transthoracic needle aspiration and biopsy in patients with pulmonary disease[J]. Onco Targets Ther, 2013, 6: 1553-1557. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821791/
[7]	LOUBEYRE P, COPERCINI M, DIETRICH P Y. Percutaneous CT-guided multisampling core needle biopsy of thoracic lesions[J]. AJR Am J Roentgenol, 2005, 185(5): 1294-1298. doi: 10.2214/AJR.04.1344
[8]	BESLIC S, ZUKIC F, MILISIC S. Percutaneous transthoracic CT guided biopsies of lung lesions; fine needle aspiration biopsy versus core biopsy[J]. Radiol Oncol, 2012, 46(1): 19-22. http://www.ncbi.nlm.nih.gov/pubmed/22933975
[9]	王立学, 董鸿鹏, 白博锋, 等. CT引导下经皮肺穿刺活检对不同大小肺结节的诊断效能及并发症相关因素分析[J]. 放射学实践, 2020, 35(11): 1409-1414. https://www.cnki.com.cn/Article/CJFDTOTAL-FSXS202011014.htm
[10]	刘保东, 周玉汀, 李宁, 等. 同轴套管与非同轴套管技术在CT引导下经皮肺穿刺活检术中的应用效果比较[J]. 山东医药, 2020, 60(26): 80-82. doi: 10.3969/j.issn.1002-266X.2020.26.022
[11]	SHIEKH Y, HASEEB W A, FEROZ I, et al. Evaluation of various patient-, lesion-, and procedure-related factors on the occurrence of pneumothorax as a complication of CT-guided percutaneous transthoracic needle biopsy[J]. Pol J Radiol, 2019, 84: e73-e79. doi: 10.5114/pjr.2019.82837
[12]	BRZEZINSKI R Y, VIGISER I, FOMIN I, et al. The yield of immediate post lung biopsy CT in predicting iatrogenic pneumothorax[J]. BMC Pulm Med, 2020, 20(1): 1-7. http://www.researchgate.net/publication/340657966_The_yield_of_immediate_post_lung_biopsy_CT_in_predicting_iatrogenic_pneumothorax
[13]	CHOI J W, PARK C M, GOO J M, et al. C-arm cone-beam CT-guided percutaneous transthoracic needle biopsy of small (≤ 20 mm) lung nodules: diagnostic accuracy and complications in 161 patients[J]. Am J Roentgenol, 2012, 199(3): W322-W330. doi: 10.2214/AJR.11.7576
[14]	ZHU J B, QU Y M, WANG X L, et al. Risk factors associated with pulmonary hemorrhage and hemoptysis following percutaneous CT-guided transthoracic lung core needle biopsy: a retrospective study of 1, 090 cases[J]. Quant Imaging Med Surg, 2020, 10(5): 1008-1020. doi: 10.21037/qims-19-1024

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Diagnostic significance of CT-guided percutaneous needle aspiration biopsy and analysis in complications