通过皮肤CT指导的肺结节活检后的肺胸部:一个前性的多中心研究
Chuang He1, Ling Zhao2, Hua-Long Yu3
1Department of Nuclear Medicine (Treatment Center of Minimally Invasive Intervention and Radioactive Particles), First Affiliated Hospital of Army Medical University, Chongqing, China.
Quantitative imaging in medicine and surgery
|January 15, 2024
概括
肺活检后的肺胸部是常见的. 年龄,肺气和多重肺通过增加了风险,而17G针可能更安全. 仔细的患者选择和技术可以帮助预防这种并发症.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 胸部外科手术 胸部外科手术
背景情况:
- 肺胸炎是计算机断层扫描 (CT) 引导的肺结节皮肤穿刺针活检的常见并发症.
- 预测和预防活检后肺胸部仍然是一个临床挑战.
- 这项研究调查了在肺结节活检后与肺胸病相关的现实因素.
研究的目的:
- 为了确定CT指导的皮肤穿透肺结节活检后与肺胸相关的临床和技术特征.
- 在现实临床环境中评估肺胸病发病率和风险因素.
- 为预测和潜在地预防活检后肺胸部提供见解.
主要方法:
- 一项临床注册队列研究,涉及593名在10个医疗中心接受皮肤肺结节活检的患者.
- 收集的数据包括患者的人口统计,结节成像特征和皮肤穿透活检技术因素.
- 统计分析涉及t测试,ANOVA,Chi-square测试和多变量逻辑回归来确定风险因素.
主要成果:
- 肺胸病的总发病率为13.0%,其中10.3%是及时发生的,2.7%是延迟发生的.
- 肺胸部发病率增加与年龄较大,肺气和更长的手术时间相关.
- 多次气通道 (≥3) 显著增加了肺胸风险 (P=0.022),而1-2次通道没有显著增加 (P=0.062).
- 与18G针相比,17G针与肺胸部发病率较低有关.
结论:
- 肺胸炎是一种可控的并发症,通常以保守的方式治疗.
- 将胸腔通道限制在最多两个似乎是安全的.
- 17G针可能是通过皮肤进行肺结节活检的最佳选择,以减少肺胸风险.
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