在学术骨科肩部服务中的成像:关于偶然肺病理发现的报告
Lawrence Wengle1, Lawrence M White2, Ali Naraghi2
1Division of Orthopaedic Surgery, University of Toronto, 149 College Street, Room 508-A, Toronto, Ontario, M5T 1P5, Canada. lawrence.wengle@mail.utoronto.ca.
Skeletal radiology
|July 22, 2023
概括
手术前的肩部CT扫描显示,肺部发现的发病率越来越高,包括肺癌. 这些偶然发现的早期识别和管理对于在肩关节整形术规划期间的患者护理至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
背景情况:
- 计算机断层扫描 (CT) 是肩膀关节整形手术规划的组成部分.
- 在这种患者群体中,手术前的CT扫描可能会揭示偶然的肺部发现.
- 了解这些发现的发生率对于患者管理很重要.
研究的目的:
- 为了确定在接受手术前肩关节整形手术CT扫描的患者中肺部发现的发生率.
- 分析肺部发现的类型及其对手术规划的影响.
- 评估这些研究结果在14年的发展趋势.
主要方法:
- 肩部CT检查的回顾性审查 (2008-2021年).
- 纳入标准:为手术前肩关节整形手术规划而订购的CT.
- 分析偶然的肺部发现和随后的患者病历审查.
主要成果:
- 对363个手术前的肩部CT进行了审查.
- 原发性肺癌 (腺癌) 在0.8%的扫描中发现 (1.4%的肺部发现).
- 15名患者 (4%的扫描) 有良性肺部发现,需要进一步评估.
结论:
- 在手术前的肩部CTs上,肺部发现的发生率正在增加.
- 准确的识别和适当的分类这些发现是必不可少的.
- 与患者就偶然的肺部发现进行明确的沟通对于最佳护理至关重要.
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