The nodule-pleura relationship affects pneumothorax in CT-guided percutaneous transthoracic needle biopsy: avoiding to cross pleural tail sign may reduce the incidence of pneumothorax.
Humans
Pneumothorax
/ etiology
Female
Male
Retrospective Studies
Image-Guided Biopsy
/ adverse effects
Middle Aged
Tomography, X-Ray Computed
Incidence
Risk Factors
Aged
Pleura
/ pathology
Biopsy, Needle
/ adverse effects
Lung Neoplasms
/ pathology
Adult
Solitary Pulmonary Nodule
/ pathology
China
/ epidemiology
Computed tomography-guided percutaneous transthoracic needle biopsy
Crossing pleural tail sign
Nodule-pleural relationship
Pneumothorax
Journal
BMC pulmonary medicine
ISSN: 1471-2466
Titre abrégé: BMC Pulm Med
Pays: England
ID NLM: 100968563
Informations de publication
Date de publication:
07 Oct 2024
07 Oct 2024
Historique:
received:
10
04
2024
accepted:
27
09
2024
medline:
8
10
2024
pubmed:
8
10
2024
entrez:
7
10
2024
Statut:
epublish
Résumé
To explore the role of nodule-pleural relationship, including nodule with pleural tail sign (PTS), nodule with pleural contact and nodule with pleural unrelated in CT-guided percutaneous transthoracic needle biopsy (PTNB)-induced pneumothorax, and whether employing different puncture routes has an impact on the incidence of pneumothorax in PTNB of nodules with PTS. Between April 1, 2019, to June 30, 2021, 775 consecutive PTNB procedures of pulmonary nodules in the Peking University Cancer Hospital were retrospectively reviewed. The univariate and multivariate regression analysis were used to identify the risk factors for pneumothorax in PTNB. The nodule with pleural contact group has a lower incidence of pneumothorax than the nodule with PTS group (p = 0.001) and the nodule with pleural unrelated group (p = 0.002). It was observed that a higher incidence of pneumothorax caused by crossing PTS compared with no crossing PTS (p < 0.001). Independent risk factors for pneumothorax included crossing PTS (p < 0.001), perifocal emphysema (p < 0.001), biopsy side up (p < 0.001), longer puncture time (p < 0.001), deeper needle insertion depth (intrapulmonary) (p < 0.001) and nodules in the middle or lower lobe (p = 0.007). Patients with crossing PTS, a nodule in the middle or lower lobe, longer puncture time, biopsy side up, deeper needle insertion depth (intrapulmonary), and perifocal emphysema were more likely to experience pneumothorax in PTNB. When performing the biopsy on a nodule with PTS, selecting a route that avoids crossing through the PTS may be advisable to reduce the risk of pneumothorax.
Identifiants
pubmed: 39375667
doi: 10.1186/s12890-024-03307-z
pii: 10.1186/s12890-024-03307-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
490Subventions
Organisme : Science Foundation of Peking University Cancer Hospital
ID : NO. KC2312
Organisme : 2022 Scientific Research and Cultivation Plan of Beijing Municipal Hospital
ID : PX2022048
Organisme : Clinical Research Special Support Fund project of Wu Jieping Medical Foundation
ID : 320.6750.2020.-19-33
Organisme : National Key R&D Program of China
ID : 2022YFC2401705
Informations de copyright
© 2024. The Author(s).
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