超声波与计算机断层扫描指导的肺外层活检用于肺部和外周肺部病变:系统性审查和元分析
1Department of Ultrasound, Dianjiang County People's Hospital of Chongqing, Chongqing, PR China.
Acta radiologica (Stockholm, Sweden : 1987)
|October 12, 2023
概括
超声波 (USG) 导向的活检显示,与计算机断层扫描 (CT) 导向的肺部和肺病变活检相比,肺和血胸等并发症的风险较低. 虽然样本的充分性相似,但USG可能会提供更好的诊断产量,特别是在回顾性分析中.
科学领域:
- 医疗成像医学成像
- 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:
- 精确诊断周围肺部和肺部病变至关重要.
- 图像引导的胸前活检是关键的诊断方案.
研究的目的:
- 为了比较超声波导向 (USG) 与计算机断层扫描 (CT) 导向的胸前活检.
- 通过元分析来评估肺和外周肺病变的诊断性能.
主要方法:
- 在PubMed,CENTRAL,Scopus,Web of Science和Embase的系统搜索.
- 包括到2023年2月发表的比较研究.
- 对样本充足度,肺胸和血胸率的分析.
主要成果:
- 对2个RCT和8个非RCT (1618名患者) 的分析发现,USG和CT指南之间的样本充分性没有显著差异.
- 追溯分析表明,与USG指南的更好的充分性.
- 用USG指导的活检与肺胸和血胸的综合风险较低有关,尽管对肺胸进行干预的需要并不不同.
结论:
- 与CT指导相比,USG指导可能为外周肺部和肺部活检提供更好的诊断产量.
- 用USG指导的活检表明肺胸和血胸的风险明显降低.
- 需要进一步的大规模RCT来证实这些发现,因为现有研究中可能存在选择偏差.
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