頁籤選單縮合
題名 | Clinical Parameters in Evaluating Hemorrhage Risk after Computed Tomography‑guided Lung Biopsy |
---|---|
作 者 | Lin, Keng-chian; Huang, Yu-sen; Chang, Yeun-chung; | 書刊名 | Journal of Radiological Science |
卷期 | 48 2023.03[民112.03] |
頁次 | 頁(21)1-(21)5 |
分類號 | 415.2165 |
關鍵詞 | Complication; Computed tomography; Lung biopsy; Pulmonary hemorrhage; |
語文 | 英文(English) |
DOI引用網址 | 10.4103/jradiolsci.JRADIOLSCI‑D‑23‑00024 |
英文摘要 | Purpose: Computed tomography (CT)‑guided lung biopsy is a common procedure for the diagnosis of lung lesions. Pulmonary hemorrhage is the second‑most common complication and may necessitate further medical care. This study aimed to evaluate clinical variables as risk factors for predicting pulmonary hemorrhage after CT‑guided lung biopsy. Materials and Methods: Patients who underwent CT‑guided lung biopsy between June 2022 and July 2022 were included in this study. The primary outcome was pulmonary hemorrhage. The patients’ clinical characteristics included age, sex, hypertension, diabetes, chronic obstructive pulmonary disease, and emphysema. Procedure‑related variables assessed on procedural CT images included lesion location, morphological characteristics, lesion size, distance of the needle traversing the lung, and number of coaxial passes. The main pulmonary artery diameter (mPAD) and the pulmonary artery‑to‑aorta (mPAD/ascending aorta diameter) ratio were evaluated as indicators of pulmonary hypertension. Univariate analysis was performed using the Pearson’s Chi‑square test and independent t‑test. Results: Pulmonary hemorrhage occurred in 17 (41.4%) of the 41 patients who underwent CT‑guided lung biopsies, and hemoptysis was documented in one patient (2.4%). Higher‑grade hemorrhage occurred in seven of 41 patients (17.1%), and none of the patients required hemorrhage‑related admission or further procedures. Higher‑grade hemorrhage was more likely to occur with a long distance of the needle traversing the lung (P = 0.014), whereas an enlarged mPAD on CT was not significantly associated with higher‑grade hemorrhage (P = 0.442). Conclusion: Higher‑grade pulmonary hemorrhage may occur after CT‑guided lung biopsy. A long distance of the needle traversing the lung was significantly associated with higher‑grade pulmonary hemorrhage. However, an enlarged mPAD on CT may not be a risk factor for higher‑grade hemorrhage. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。