中外医学研究2025，Vol.23Issue(9)：68-71,4.DOI:10.14033/j.cnki.cfmr.2025.09.019
肺小结节CT引导下行同轴穿刺活检术术后出血的影响因素及干预对策
Influencing Factors and Intervention Strategies for Postoperative Bleeding after CT-Guided Coaxial Puncture Biopsy of Small Pulmonary Nodules
李新 1尹彦海 1马丰利 1王孟 1马志英1
作者信息
- 1. 滨州市中心医院 山东 滨州 251700
- 折叠
摘要
Abstract
Objective:To explore the influencing factors of bleeding after CT-guided coaxial puncture biopsy of small pulmonary nodules,and to propose corresponding intervention strategies.Method:168 patients who received CT-guided coaxial puncture biopsy of small pulmonary nodules in Binzhou Central Hospital from January 2019 to December 2023 were selected as the study objects,and their basic information,clinical manifestations,imaging features and postoperative bleeding were collected.Patients with postoperative bleeding were selected as the bleeding group(n=14),and those without postoperative bleeding were selected as the no bleeding group(n=154).Univariate and multivariate logistic regression analysis was applied to explore the influencing factors of postoperative bleeding,and corresponding intervention countermeasures were proposed according to the main risk factors.Result:Compared with the non-bleeding group,the lower lobe accounted for a higher proportion of lesions,the lesion size was smaller,the puncture depth was deeper,the number of samples>2 accounted for a higher proportion of patients,and the pathological results showed a higher proportion of tumor patients,with statistical significance(P<0.05).Multivariate logistic regression analysis showed that the lesion location was lower lobe,lesion size,puncture depth and number of samples were>2,and pathological results showed that tumors could be used as high risk factors for postoperative bleeding after CT-guided coaxial puncture biopsy,with statistical significance(P<0.05).Conclusion:The occurrence of postoperative bleeding after CT-guided coaxial puncture biopsy of small pulmonary nodules is related to many factors.Targeted intervention can effectively reduce the occurrence of postoperative bleeding and improve surgical safety.关键词
肺小结节/CT/同轴穿刺活检术/术后出血/影响因素/干预对策Key words
Pulmonary nodules/CT/Coaxial needle biopsy/Postoperative bleeding/Influencing factors/Intervention strategies引用本文复制引用
李新,尹彦海,马丰利,王孟,马志英..肺小结节CT引导下行同轴穿刺活检术术后出血的影响因素及干预对策[J].中外医学研究,2025,23(9):68-71,4.
