Browse > Article

Related Factors of Pneumothorax after Percutaneous Needle Aspiration Biopsy  

Lee, Bo-Woo (Department of Public Health, The Graduate School of Konyang University)
Bae, Seok-Hwan (Department of Radiological Science, Konyang University)
Lee, Moo-Sik (Department of Preventive Medicine, College of Medicine, Konyang University)
Lee, Jin-Yong (Department of Preventive Medicine, College of Medicine, Konyang University)
Kim, Chul-Woung (Department of Preventive Medicine, College of Medicine, Chungnam National University)
Cho, Bum-Sang (Department of Radiology, Chungbuk National University Hospital)
Yoo, Se-Jong (Department of Radiological Science, Konyang University)
Hwang, Ji-Hea (Department of Radiological Science, Konyang University)
Publication Information
Journal of radiological science and technology / v.34, no.3, 2011 , pp. 203-208 More about this Journal
Abstract
In this study, we investigated factors for affecting pneumothorax in percutaneous needle aspiration biopsy of lung lesions. This research were conducted at University Hospital in Daejeon from August 2007 to May 2008. Total 104 patients between the ages of 25~85 who had focal lung lesions were grouped in terms of the tumor location, tumor size, depth of lesion, gender, age, biopsy time, and the number of biopsies. Then, their correlations with pneumothorax were studied. The incidence of pneumothorax according to the positions showed 27.3% in the right lower lobe, 24.3% in the right upper lobe, 15% in the left lower lobe and 12% in the left upper, respectively. In addition, the incidence by lesion size showed 24.0% in 0~2.0 cm, 18.2% in 2.1~4.0 cm, above 20.0% in 4.1 cm respectively. The probabilities of pneumothorax was 6.7% at 0 cm depth of lesion, 24.2% at 0.1~2.0 cm and greater than 26.8% at 2.1 cm. By gender differences, we found that probability of incidence of pneumothrax is 21.7% for male and 17.1% for female. According to age, pneumothorax occurred in 25% in the group of less than 40-years-old, 11.7% in 41~50 years, 14.3% in 51~60 years, 24.1% in 61~70 years old and 24.1% in over 70 years. According to the time of biopsy, the incidence of pneumothorax was 3.8% from 0 to 10.0 minutes, 18.9% from 10.1 to 20.0 minutes and 40% more than 21 minutes.
Keywords
Needle aspiration biopsy; Pneumothorax; CT fluoroscopy image;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Jane P, Jo-Anne O, Elizabeth A, et al.: Factors influencing pneumothorax in emphysema, Mayo Clin Proc, 45, 481-487, 1970
2 최천웅: 경피폐세침흡인생검의 진단 유용성 및 합병 증 발생에 관한 연구, 경희대대학원 석사학위논문, 2004
3 Westott JL: Direct percutaneous needle aspiration of localized pulmonary lesions: Results in 422 pations, Radiology, 137, 31-35, 1980
4 이창호, 박경주, 박동원, 정경일, 서정호: 흉부 경피 적 세침 흡인술에서의 기흉 발생 요인: CT 폐기종 지수와 폐기능 검사의 비교, 대한방사선의학회지, 37, 845-851, 1997
5 Fish GD, Stanley JH, Miller KS, Schabel SI: Postbiopsy pneumothorax: estimating the risk by chest radiography and pulmonary function test, AJR, 150, 71-74, 1988   DOI   ScienceOn
6 Laurent F, Latrabe V, Vergier B, Casola G: Percutaneous CT-guided biopsy of the lung comparison between aspiration and automated cutting needle using a coaxial technique, Cardiovasc Intervent Radiol, 23, 266-272, 2000   DOI   ScienceOn
7 이경환, 임효근, 김은아, 윤규섭, 배상훈, 신형식: 생 검총을 이용한 영상유도하의 경피 생검. 대한방사선의학회지, 31, 125-130, 1994
8 Takugi Y, Shigeharu L, Takharu K, Osamu T, Tsunchiko N: Combining fine-needle aspiration and Cor biopsy under CT fluoroscopy guidance: A better way to treat patients with lung nodules, A.JR, 180, 811-815, 2003
9 Cox JE, Chiles C, McManus CM, Aquino SL, Choplin RH: Variables affecting risk of pneumothorax in transthoracic needle aspiration biopsy, Radiology, 212, 165-168, 1999   DOI
10 박재성, 백상현, 차장규 등: CT 유도하의 경피적 폐 생검: 임상적 의의 및 합병증에 관한 연구, 순천향의대논문집, 9(2), 147-153, 2003
11 김선미, 전석철, 배오근 등: 흉부 세침흡인생검 1000 예의 진단성적 및 합병증, 대한방사선의학회지, 31, 897-900, 1994
12 Jereb M: The usefulness of needle biopsy in chest lesions of different sizes and locations,Radiology, 134, 13-15, 1980   DOI
13 김문찬, 이종호, 남윤철: 최신 CT영상기술학, 청구문화사, 2005
14 이수환, 최필엽, 김지양 등: 자동생검총을 이용한 CT 유도 하 흉부 경피 생검의 합병증 및 진단 성적, 대한방사선의학회지, 35, 195-200, 1996