肺胸发病率与正常盐水灌注以密封针轨迹在计算机断层扫描指导的皮肤肺部活检后
Geoffrey Bourgeais1, Eric Frampas2, Renan Liberge2
1Department of Radiology, Nantes University Hospital, 1 Place Alexis Ricordeau, 44093, Nantes, France. geoffrey.bourgeais@outlook.com.
Cardiovascular and interventional radiology
|January 24, 2024
概括
在计算机断层扫描指导的肺活检后,注入正常盐水以密封针轨道显著减少了肺胸. 这种简单而安全的技术可能会降低住院的风险和成本.
科学领域:
- 干预性放射学 干预性放射学
- 肺部医学 肺部医学
- 医疗程序 医疗程序
背景情况:
- 计算机断层扫描引导的皮肤肺活检是一种常见的诊断程序.
- 肺胸部和需要安置胸腔管是已知的并发症.
- 尽量减少这些并发症对于患者安全和医疗保健效率至关重要.
研究的目的:
- 为了评估正常盐溶液灌注用于密封针轨道的有效性.
- 为了确定这种技术是否可以减少肺胸部和胸腔管的发生率.
- 评估正常盐水密封技术的安全性和成本效益.
主要方法:
- 进行了242个计算机断层扫描引导的皮肤间肺活检的回顾性审查.
- 93次活组织检查涉及用3-5毫升正常盐水 (海组) 密封针轨道.
- 149个活检作为对照,没有针痕密封.
主要成果:
- 与对照组 (40.9%) 相比,正常盐水组 (19.4%) 的肺胸部发病率明显较低 (p < 0.001).
- 胸管安置率在盐水组 (4.3%) 与对照组 (10.7%) 的数字较低,尽管在统计学上不显著 (p = 0.126).
- 正常的盐水灌注,高级操作员和倾斜的位置与肺胸部风险降低有关;肺气风险增加. 没有注意到注射盐水的不良事件.
结论:
- 正常的盐水灌注是一种简单,低成本和安全的方法,用于在肺部活检后密封针痕.
- 这种技术显著减少了肺胸发生,并可能减少胸腔管的放置.
- 该程序有可能降低住院率和医疗保健成本.
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