在CT指导肺部地面玻璃结节的局部化后发生气栓塞
Shi-Long Sun1, Zeng-Jian Yang2, Hong-Liang Sun1
1Department of Radiology, China-Japan Friendship Hospital, Beijing, China.
The British journal of radiology
|September 3, 2023
概括
在VATS之前,空气栓塞 (AE) 发生在0.5%的患者中,这些患者接受了CT指导的肺部地面玻璃结节局部化. 仔细的手术后CT扫描对于检测AE和防止延迟治疗至关重要.
科学领域:
- 医学成像和干预性放射学
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
背景情况:
- 肺部地面玻璃结节 (GGNs) 通常需要手术切除.
- 视频辅助胸腔镜手术 (VATS) 是一种常见的GGN去除的微创方法.
- 经常使用CT引导本地化来准确地针对VATS的GGN.
研究的目的:
- 为了确定空气栓塞 (AE) 的发生率,在CT引导的GGNs定位后.
- 评估该患者队列中AE的临床意义和管理.
主要方法:
- 在VATS之前,对接受CT指导GGN定位的患者进行了回顾性分析.
- 在2020年5月至2021年10月期间,包括1395名患有1553个GGN的患者.
- 对成像数据和临床结果的审查,以识别和评估AE事件.
主要成果:
- 总共有0.5% (7名1395名患者中) 经历了AE.
- 在4名患者出院前检测到AE,临床表现不同.
- 三名患者有无症状的AE在成像上被追溯检测到.
- 所有患有AE的患者在同一天成功切除了VATS和GGN.
结论:
- AE的发病率高于预期 (0.5%),突出显示了与CT引导的GGN定位相关的潜在风险.
- 建议在术后进行全胸部CT扫描,以便及时检测AE.
- 仔细观察局部化后的CT图像至关重要,以避免错过AE并确保及时管理.
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