用同轴技术进行CT指导的肺核针活检的利益与风险评估
Giulio Barbiero1, Michele Battistel2, Alessandro Pauro3
1Department of Integrated Diagnostic Services DIDAS, University Hospital of Padua, Padua, Italy; giulio.barbiero@aopd.veneto.it.
In vivo (Athens, Greece)
|June 27, 2023
概括
以CT指导的肺穿皮针活检 (PNB) 的同轴 (CX) 技术显示出高的诊断准确性,并促进了大量的组织采集. 这种方法在肺活检过程中被证明是有效的.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 干预性放射学 干预性放射学
背景情况:
- 通过CT指导的肺穿皮针活检 (PNB) 是一个至关重要的诊断工具.
- 有两个主要的技术:单针和同轴 (CX).
- 在大量患者队列中CX技术的有效性需要评估.
研究的目的:
- 评估共轴 (CX) 技术的诊断准确性和安全性,用于CT指导的肺 PNB.
- 评估使用CX技术获得的组织样本的体积和质量.
- 确定影响诊断产量和并发症率的因素.
主要方法:
- 在2012年8月至2019年8月期间,对700个CT指导肺PNB进行了回顾性分析.
- 纳入标准:正常的凝血和肺功能.
- 诊断成功通过从采集的样本中进行组织学诊断来定义;并发症 (肺出血,肺胸) 记录.
主要成果:
- 该CX技术实现了93.0%的高诊断准确率.
- 很大一部分病例 (77.4%) yielded ≥3个组织样本与一个单一的胸腔穿孔.
- 肺出血发生在55.4%的患者中,没有重大临床影响;肺胸部发病率为42.9%,吸入性肺胸部的下胸管安置率为42.9%.
结论:
- 同轴 (CX) 技术用于CT指导的肺 PNB 是高度准确和高效的组织采样.
- 该研究确定了提高诊断能力和减少并发症的关键因素.
- CX技术是诊断肺病变的一种有价值的方法.
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