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Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2009 / Cilt: 43 - Sayı: 3

Complication of computerized tomography guided transthoracic needle biyopsi

Bilgisayarlı tomografi (BT) eşliğinde transtorasik iğne biyopsisi (TİB)’nin komplikasyonları

Nurullah DOĞAN
Zeynep Nigar USCA
Demet ÜNAL
İbrahim UYGUN
Aliye Özlem PAŞA
Mustafa Yurtkuran SADIKOĞLU
Pages
107–111
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our results confirm that CT guided transthoracic needle biopsy are effective diagnostic methods with minimal complication rate.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study is to present the our experience of transthoracic biopsy.
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Key Findings & Data:Materials and Method: Transthoracic biopsy were performed in 452 cases (54 female, 398 male) in our interventional radiology unit between 01.01.2007-31.12.2008.
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Conclusion & Impact:Conclusion: Our results confirm that CT guided transthoracic needle biopsy are effective diagnostic methods with minimal complication rate.
🔬Design:Research Article
📍Scope:2007 Verileri
⚙️Variables:Tomografi · x-ışınlı bilgisayarlı · Geriyedönük çalışma

Abstract

Objective: The aim of this study is to present the our experience of transthoracic biopsy. Materials and Method: Transthoracic biopsy were performed in 452 cases (54 female, 398 male) in our interventional radiology unit between 01.01.2007-31.12.2008. Emphysema around the lesion, length of the lung paranchyma traversed during biopsy, biopsy from cavity wall, travesing fissure, atelectasis and pleural tag were grouped into lesion related factors, type of biopsy, needle size, number of passages, procedure related factors. All variables were analysed by ki2 test. Results: Among these patients 242 of them had CT guided FNAB and 210 patients had CT guided tru-cut biopsy. Complications were pneumothorax in 73 cases (16%) and in 46 cases (10%). A chest tube was inserted only in 16 (3.5%) of them. The variable that was significantly associated with an increased risk of pneumothorax was length of the lung parenchyma and number of passages traversed statistically. The only variable that was significantly associated with an increased risk of pulmoner hemorrhage was type of biopsy needle. Conclusion: Our results confirm that CT guided transthoracic needle biopsy are effective diagnostic methods with minimal complication rate.

Özet

Amaç: Bu çalışmanın amacı transtorasik biyopsideki deneyimlerimizi sunmaktır. Gereç ve Yöntem: Girişimsel radyoloji bölümümüzde 01.01.2007- 31.21.2008 tarihleri arasında 452 vakaya (54 kadın, 398 erkek) transtorasik biyopsi işlemi uygulandı. Lezyonçevresinde amfizem varlığı, biyopsi sırasında geçilen akciğer parankiminin uzunluğu, biyopsinin kavite duvarından yapılıp yapılmadığı, iğne trasesinde atelektazi, plevral kuyruk ve fissür varlığı lezyona bağlı faktörler; tipi, iğne kalınlığı, giriş sayısı işleme bağlı faktörler olarak değerlendirildi. Tüm değişkenler ki2 testi ile analiz edildi. Bulgular: 242 hastaya BT eşliğinde ince iğne aspirasyon biyopsisi, 210 hastaya ise BT eşliğinde kesici iğne biyopsisi uygulandı. 73 (%16) vakada pnömotoraks, 46 (%10) vakada pulmoner hemoraji gelişti. 16 (%3,5) olgumuza gö- ğüs tüpü takılmasına karar verildi. Pnömotoraks gelişmesi için anlamlı olan risk faktörü geçilen parankimin uzunluğu ve giriş sayısıdır. Pulmoner hemoraji gelişmesi için anlamlı olan tek risk faktörü ise seçilen iğne tipidir. Sonuç: Bulgularımız, BT eşliğinde Transtorasik iğne Biyopsisi (T‹B)’nin komplikasyon oranı düşük, güvenilir bir tanı yöntemi olduğunu doğrulamaktadır.

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Cite This Article

DOĞAN, N., USCA, Z. N., ÜNAL, D., UYGUN, İ., PAŞA, A. Ö., SADIKOĞLU, M. Y. (2009). Complication of computerized tomography guided transthoracic needle biyopsi. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 43 - Sayı: 3, 107–111. https://ajindex.com/articles/363882

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