Bilgisayarlı tomografi kılavuzluğunda yapılan kesici iğne akciğer biyopsilerindeki komplikasyonlar ve risk faktörleri. Complications and risk factors in computed tomography-guided cutting needle lung biopsies

Yıl 2018, Cilt: 11 Sayı: 3, 195 - 201, 28.09.2018

Furkan Ufuk

https://doi.org/10.31362/patd.399675

Öz

GİRİŞ ve AMAÇ: Bu çalışmadaki amacımız bilgisayarlı tomografi (BT)
kılavuzluğunda yapılan transtorasik kesici iğne akciğer biyopsisinde (KİB)
komplikasyon oranları ve buna bağlı risk faktörlerinin incelenmesidir.

YÖNTEM ve GEREÇLER: BT kılavuzluğunda transtorasik kesici iğne biyopsisi (KİB)
yapılan akciğer nodüllü hastalar geriye dönük olarak değerlendirildi. Bu
hastalardan işlem sırasında ve işlem sonrasında BT görüntüsü olmayanlar ve
kontrol akciğer grafisi olmayanlar çalışmadan çıkartıldı. Toplam 321 hasta
(28-86 yaş aralığı, ortalama yaş 61, %84.1 erkek) çalışmaya dahil edilmiştir.
Komplikasyon oranı ile histopatolojik tanı, lezyon büyüklüğü, lezyonun
akciğerdeki yeri ve lezyonun derinliği arasındaki ilişki araştırıldı.

BULGULAR: En sık görülen histopatolojik tanılar adenokarsinom (% 33.3) ve
skuamöz hücreli karsinom (% 32.3) idi. Lezyonun histopatolojik tanısı ile
biyopsiye bağlı komplikasyon gelişimi arasında ilişki saptanmadı. Pnömotoraks
(%19.7) ve pulmoner hemoraji (%9) en sık karşılaşılan komplikasyonlardı. Lezyon
derinliği arttıkça veya lezyon boyutu azaldığında komplikasyon riski
artmaktadır (p<0.05).

TARTIŞMA ve SONUÇ: Çalışmamızda akciğer lezyonunun patolojik sonucu ile KİB'e
bağlı komplikasyon gelişmesi arasında ilişki olmadığını saptadık. Geçilen
akciğer parankim mesafesi arttıkça ve lezyon boyutu küçüldükçe komplikasyon
riskinin arttığını saptadık.

Anahtar Kelimeler: Akciğer lezyonu, Perkütan
biyopsi, Komplikasyon, Kesici iğne biyopsisi, Bilgisayarlı tomografi
Türkçe Kısa Başlık: Akciğer biyopsilerindeki komplikasyonlar ve risk
faktörleri

INTRODUCTION: Our aim was to evaluate complication rate in computed
tomography (CT)-guided transthoracic cutting needle lung biopsy and associated
risk factors.

METHODS: We were retrospectively evaluated patients with lung nodules who
underwent CT-guided transthoracic cutting needle biopsy. Patients without CT
images during and after the procedure and patients without control chest X-ray
were excluded from the study. A total of 321 patients (aged 28-86 years, mean
age 61, 84.1% male) were included in the study. The complication rate and
histopathologic diagnosis, lesion size, location of the lesion in the lung and
depth of the lesion were investigated.


RESULTS: The most common diagnoses were adenocarcinoma (%33.3) and squamous
cell carcinoma (%32.3). There was no correlation between the histopathological
diagnosis of the lesion and the development of complications due to cutting
needle biopsy. Pneumothorax (%19.7) and pulmonary haemorrhage (%9) were the
most common complications. The risk of complications increases as the lesion
depth increases or lesion size decreases (p<0.05).

DISCUSSION AND CONCLUSION: We found that there was no correlation between the
pathologic diagnosis and complication related to cutting needle lung biopsy.
The risk of complications increased with increasing crossed lung parenchyma
distance and decreased lesion size.

Keywords: Lung lesion,
Percutaneous biopsy, Complication, Core-needle biopsy, Computed tomography
İngilizce Kısa Başlık: Complications and risk factors in lung

Anahtar Kelimeler

Akciğer lezyonu, Perkütan biyopsi, Komplikasyon, Kesici iğne biyopsisi, Bilgisayarlı tomografi

Kaynakça

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