Erdi TANGOBAY, Erdem BİRGİ, Önder ERASLAN, Onur ERGUN, Hasanali DURMAZ, Azad HEKİMOĞLU, Tuğba TAŞKIN TÜRKMENOĞLU, Baki HEKİMOĞLU

Bilgisayarlı Tomografi Eşliğinde Transtorasik İnce İğne Aspirasyon Biyopsilerinde Pnömotoraks Risk Faktörlerinin Değerlendirilmesi

Bu çalışmada, perkütan transtorasik akciğer biyopsi (PTAB) işlemi yapılan hastalarda pnömotoraks oranlarımızı ve pnömotoraks ile ilişkili risk faktörlerinin değerlendirilmesini amaçladık. Kliniğimizde yapılan 754 PTAB işlemine ait radyolojik görüntüler, raporları ve patoloji sonuçları retrospektif olarak incelendi. Pnömotoraks ve pulmoner hemoraji (PH) insidansı ve PH tipleri belirlendi. Biyopsi ilişkili pnömotoraks 143 hastada (%42,56) saptandı. Bu hastaların 130'unda (%90,91) ek tedavi gerekmezken, 13'ünde (%9,09) kateter drenajı uygulandı. Hastaların 153’ünde (%45,54) PH olup 124 hastada (%36,91) tip 1 (trakt hemorajisi), 29 hastada (%8,63) tip 2 (perilezyon hemorajisi) hemoraji mevcuttu. Amfizem varlığı, plevra-lezyon mesafesinin artması, plevra-cilt mesafesinin azalması, işlem sırasında iğne ile fissür geçilmesi, lezyonun perifissürel yerleşimli olması pnömotoraks riskini artıran faktörler olarak bulundu (sırasıyla p

Anahtar Kelimeler:

Akciğer, Biyopsi, İnce-İğne aspirasyon, Pnömotoraks

Evaluation of Pneumothorax Risk Factors in Computed Tomography-Guided Transthoracic Fine Needle Aspiration Biopsies

In this study, we aimed to evaluate our pneumothorax rates and risk factors associated with pneumothorax in patients who underwent percutaneous transthoracic lung biopsy (PTAB). Radiological images, reports, and pathology results of 754 PTAB procedures performed in our clinic were reviewed retrospectively. The incidence of pneumothorax and pulmonary hemorrhage (PH) and PH types were determined. Biopsy-associated pneumothorax was detected in 143 patients (42.56%). Additional treatment was not required in 130 (90.91%) of these patients, while catheter drainage was performed in 13 (9.09%) patients. PH occurred in 153 (45.54%) patients, 124 (36.91%) had type 1 (tract hemorrhage) and 29 (8.63%) had type 2 (perilesional hemorrhage) hemorrhage. The presence of emphysema, increased pleural lesion distance, decreased pleural skin distance, passing through fissure with a needle during the procedure, and perifissurel localization of the lesion were found to increase the risk of pneumothorax (p

Keywords:

Lung, Biopsy, Fine-Needle Aspiration, Pneumothorax,

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