在CT指导肺活检后的肺胸部:下一步是什么?
Faiz Altaf Shera1, Tahleel Altaf Shera1, Omair Ashraf Shah1
1Department of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
The Indian journal of radiology & imaging
|June 26, 2023
概括
在CT导向肺活检后的肺胸部是常见的. 大多数病例是轻微的,需要观察,而中度病例受益于针吸收,减少了对猪尾导管插入的需要.
科学领域:
- 肺部病理学 肺部病理学
- 干预性放射学 干预性放射学
背景情况:
- 肺胸炎是计算机断层扫描 (CT) 引导的肺活检的常见并发症.
- 无症状肺胸病发病率在17.5%至72%之间,其中6%至18%需要胸管干预.
研究的目的:
- 评估针吸收和猪尾导管插入在处理活检后肺胸部的疗效.
- 根据肺胸炎的严重程度和症状,确定最佳的管理策略.
主要方法:
- 未来的观察性研究超过2年.
- 生物检查后CT扫描量化了肺胸部 (轻度,中度,严重) 的情况.
- 管理包括观察,针吸入,或基于严重程度和症状的猪尾导管插入.
主要成果:
- 确定了91种轻度,42种中度和18种严重的肺胸病.
- 只有1%的轻度肺胸病例进展,而9.5%的中度病例需要进一步的干预.
- 最终有23例 (15.2%) 需要插入猪尾导管,平均导管时间为3.74天.
结论:
- 大多数活检后的肺胸都是良性的,并通过观察有效地管理.
- 在90%的中度肺胸病例中,针吸入是成功的,减少了侵入性手术.
- 猪尾导管插入是严重或进展性肺胸病的安全有效治疗方法,仅在6.4%的病例中需要.
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