常见的间歇性肺炎:皮肤穿甲针肺部活检后并发症的相关性
Jongsoo Park1,2, Jong Hyuk Lee1,3,4, Wonju Hong1,5
1Department of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea.
AJR. American journal of roentgenology
|November 1, 2023
概括
肺部针活检与通常的间歇性肺炎 (UIP) 发现增加了肺胸病的风险. 避免穿越UIP的发现,在皮肤穿越胸腺针活检 (PTNB) 期间可以减少并发症,如肺胸需要胸腔管.
科学领域:
- 放射学 放射学是一门学科.
- 肺部医学 肺部医学
- 干预性肺病学 干预性肺病学
背景情况:
- 常见的间歇性肺炎 (UIP) 改变了肺的弹性,这可能会增加皮肤穿针活检 (PTNB) 期间并发症的风险.
- 了解UIP发现与CT和PTNB并发症之间的关联对于患者安全至关重要.
研究的目的:
- 调查计算机断层扫描 (CT) 上常见的间歇性肺炎 (UIP) 发现与皮肤穿针活检 (PTNB) 后的并发症之间的关系.
- 特别检查肺胸,需要插入胸管的肺胸,以及血作为潜在的并发症.
主要方法:
- 在2010年至2015年期间接受PTNB的4187名患者的回顾性分析.
- 根据手术前CT扫描,分类UIP和非UIP组.
- 多变量后勤回归以确定UIP,UIP发现的针穿越和剖析后并发症之间的关联.
主要成果:
- 与非UIP组相比,UIP组的肺胸部发病率 (35.1%与17.9%) 和需要胸部输管安置的肺胸部发病率 (6.1%与1.5%) 显着更高.
- 在UIP组中,UIP发现的针穿越与肺胸部风险增加 (OR,5.25) 和需要胸管放置的肺胸部风险增加 (OR,9.55) 独立相关.
- 没有发现UIP发现与血液失血之间有显著的关联,也没有出现气栓塞或与程序相关的死亡病例.
结论:
- 穿刺针的常见间歇性肺炎 (UIP) 发现在皮肤穿刺针活检 (PTNB) 期间是肺胸炎的重要危险因素.
- 放射科医生应考虑针的轨迹,以避免在PTNB期间穿越UIP发现,以尽量减少并发症风险.
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