ĐÁNH GIÁ KẾT QUẢ SINH THIẾT XUYÊN THÀNH NGỰC NỐT ĐƠN ĐỘC ≤ 2CM Ở PHỔI DƯỚI CẮT LỚP VI TÍNH FLUOROSCOPY

Abstract

Purpose: To evaluate the safety and effectiveness of transthoracic biopsy of solitary nodule ≤2cm in the lung under the guidance of computed tomography Fluoroscopy. Materials and methods: Retrospective study on 43 patients with solitary pulmonary nodules ≤2cm who underwent transthoracic biopsy under CTF at Viet Duc hospital from January 2020 to December 2021. Results: The sample collection efficiency reached 100%. The success rate is 100%. The average procedure time was 16.2±7.6 minutes. The most common complications were alveolar hemorrhage (48.7%), pneumothorax (13.9%), hemothorax (4.6%). Including one case of aspiration and one case of pneumothorax drainage. Risk factors related to complications: procedures with longer parenchymal needle passages have a higher rate of alveolar hemorrhage, procedures with a longer duration have a higher incidence of pneumothorax. Conclusions: Biopsy of solitary pulmonary nodules 2cm under the guidance of computed tomography fluoroscopy is a safe method with mild complications requiring only medical monitoring and internal medicine, high accuracy of procedure with success rate was 100% and procedure time was shortened.