在CT指导的皮肤横肺活检中,针道出血和术后立即肺胸病之间的关联:一个横截面研究
Shao-Quan Zhou1,2, Fang Luo3, Kang Li2
1The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing, 400016, China.
Scientific reports
|November 2, 2023
概括
针轨出血 (NTB) 显示了肺活检后对立即肺胸部的保护作用,但只有8毫米. 较大的出血量没有显示这种保护性关联.
科学领域:
- 肺部医学 肺部医学
- 干预性放射学 干预性放射学
- 医疗成像医学成像
背景情况:
- 手术后的立即肺胸炎是CT指导的皮肤横肺活检的并发症.
- 针道出血 (NTB) 和肺胸风险之间的关系还不清楚.
研究的目的:
- 在CT指导肺活检后,调查NTB和立即肺胸病之间的关联.
- 为了确定NTB是否对肺胸发生有保护性或有害影响.
主要方法:
- 对453名接受CT指导肺活检的患者进行了回顾性横截面研究.
- 后勤回归和受限立方线曲线分析了NTB与肺胸部的关系.
- 敏感性分析包括E值计算.
主要成果:
- 在NTB和直接肺胸部之间发现了负面的非线性相关性 (OR=0.91).
- 对于NTB ≤8mm (OR=0.74) 观察到一个保护性关联.
- 对于NTB> 8mm (OR=0.98) 没有发现显著的关联.
结论:
- NTB表明与立即肺胸病风险存在非线性,保护性的相关性.
- 只有当出血为8毫米或更小时,NTB的保护作用才显著.
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