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Diagnostic efficiency and complication rate of CT-guided lung biopsy: a single center experience of the procedures conducted over a 10-year period

YUAN Dong-mei SONG Yong L(U) Yan-ling YAO Yan-wen LIU Hong-bing WANG Qian XIAO Xin-wu CAO E-hong SHI Yi ZHOU Xiao-jun

中华医学杂志(英文版)2011,Vol.124Issue(20):3227-3231,5.
中华医学杂志(英文版)2011,Vol.124Issue(20):3227-3231,5.DOI:10.3760/cma.j.issn.0366-6999.2011.20.004

Diagnostic efficiency and complication rate of CT-guided lung biopsy: a single center experience of the procedures conducted over a 10-year period

Diagnostic efficiency and complication rate of CT-guided lung biopsy: a single center experience of the procedures conducted over a 10-year period

YUAN Dong-mei 1SONG Yong 2L(U) Yan-ling 1YAO Yan-wen 1LIU Hong-bing 1WANG Qian 1XIAO Xin-wu 1CAO E-hong 1SHI Yi 1ZHOU Xiao-jun3

作者信息

  • 1. Department of Respiratory Medicine
  • 2. Jinling Hospital, Nanjing University School of Medicine, Nanjing, Jiangsu 210002, China
  • 3. Department of Pathology
  • 折叠

摘要

Abstract

Background Computed tomography (CT)-guided transthoracic lung biopsy is a well-established technique for the diagnosis of pulmonary lesions.The objective of this study was to evaluate the diagnostic efficiency and complication rate of CT-guided lung biopsy in a Chinese population.Methods CT-guided cutting needle lung biopsies were performed in our institution on 1014 patients between January 2000 and October 2010.A chest radiograph was taken after the biopsy.Data about basic patient information,final diagnosis,and complications secondary to biopsy procedure (pneumothorax and bleeding) were extracted.Results The diagnostic efficiency of CT-guided lung biopsy was 94.8%; only 53 patients did not get a final diagnosis from lung biopsy.Final diagnoses found 639 malignant lesions (63.0%) and 322 benign lesions (31.8%).Pneumothoraxoccurred in 131 patients and 15 required insertion of an intercostal drain.Small hemoptysis occurred in 41 patients and mild parenchymal hemorrhage occurred in 16 patients.The overall complication rate was 18.5%.Conclusions CT-guided cutting needle biopsy of pulmonary lesions is a relatively safe technique with a high diagnostic accuracy.It can be safely performed in clinical trials.

关键词

diagnostic efficiency/complication rate/CT-guided/lung biopsy/retrospective study

Key words

diagnostic efficiency/complication rate/CT-guided/lung biopsy/retrospective study

引用本文复制引用

YUAN Dong-mei,SONG Yong,L(U) Yan-ling,YAO Yan-wen,LIU Hong-bing,WANG Qian,XIAO Xin-wu,CAO E-hong,SHI Yi,ZHOU Xiao-jun..Diagnostic efficiency and complication rate of CT-guided lung biopsy: a single center experience of the procedures conducted over a 10-year period[J].中华医学杂志(英文版),2011,124(20):3227-3231,5.

中华医学杂志(英文版)

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