| 摘要: |
| 目的 分析影响超声引导下经皮穿刺活检肝脏病变并发症的影响因素。方法 收集因肝脏病变行超声引导下穿刺活检术的248例患者资料,采用单因素和多因素Logistics回归分析方法,分析患者相关因素(性别、年龄)、病灶相关因素(病灶大小、部位、性质、病灶内有无坏死)、操作相关因素(穿刺次数)对穿刺活检并发症发生率的影响。结果 248例患者均穿刺取材成功,穿刺诊断准确率为94.8%(235/248),并发症发生率为11.3%(28/248),其中疼痛的发生率为6.9%(17/248),出血的发生率为4.0%(10/248)；单因素Logistic回归分析显示肝脏病灶大小和穿刺次数对并发症发生率均有影响(P＜0.05)；Logistic逐步回归分析发现肝脏病灶穿刺次数为并发症发生的危险因素(β=1.547),而肝脏病灶大小为并发症发生率的保护因素(β=-1.097)。结论 肝脏病灶大小和穿刺次数是影响超声引导下穿刺活检肝脏病变并发症发生率的独立影响因素,其中穿刺次数为危险因素,病灶大小为保护因素。 |
| 关键词: 超声检查 多普勒 肝脏病变 活组织检查 影响因素 并发症 |
| DOI： |
| 投稿时间：2019-04-19修订日期：2019-05-05 |
| 基金项目: |
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| Influencing factors of complications in ultrasound-guided percutaneous biopsy of liver lesions |
| JIANG Xiao |
| (Department of Utrasonography,Affiliated Wuxi People''s Hospital of Nanjing Medical University) |
| Abstract: |
| Objective To investigate the influencing factors of complications in performing ultrasound-guided percutaneous biopsy of liver lesions. Methods All of 248 patients undergoing ultrasound-guided percutaneous liver biopsy were enrolled. The univariate and multivariate Logistic retrospective analysis were performed to study the influence of the patient-related factors (sex, age), lesion-related factors (lesion size, location, pathological type, with or without necrosis), and procedure-related factors (number of puncture) on the incidence of
第一作者：蒋骁，南京医科大学附属无锡人民医院超声科，214023 无锡
通讯作者：吴鹏西，南京医科大学附属无锡人民医院超声科，214023 无锡
Email：Wupengxiwxry@hotmail.com
complications by ultrasound-guided. Results Puncture was all succeed in all 248 cases. The diagnostic accuracy rate of ultrasound-guided percutaneous biopsy was 94.8% (235/248); the complication rate was 11.3% (28/248), among which the frequency of pain was 6.9% (17/248), hemorrhage was 4.0% (10/248). The single factor analysis showed that the size of the lesion, number of puncture could influence the incidence of complications (P＜0.05). The multi-factor analysis showed that the umber of puncture was a risk factor (β=1.547), while the size of the lesion was a protective factor (β=-1.097). Conclusions The umber of puncture and the size of the lesion are independent factors that effect the incidence of complications in performing ultrasound-guided percutaneous biopsy of liver lesions. The umber of puncture is a risk factor, while the size if the lesion is a protective factor. |
| Key words: Ultrasonography Doppler Liver lesions Biopsy Influence factors Complications |
