通过皮肤CT引导的肺结节活检后肺出血的发生率和危险因素:一项观察性研究
Chuang He1, Ling Zhao2, Hua-Long Yu3
1Department of Nuclear Medicine (Treatment Center of Minimally Invasive Intervention and Radioactive Particles), First Affiliated Hospital, Army Medical University, No. 30 of Gao Tanyan District, Chongqing, China.
Scientific reports
|March 28, 2024
概括
在CT导向活检后肺出血是常见的. 手术前的呼吸练习和特定的技术,如同轴技术减少风险,而更大的动脉直径和更小的结节大小增加它.
科学领域:
- 肺部医学 肺部医学
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 通过皮肤CT指导的肺结节活检是一种至关重要的诊断工具.
- 肺出血是一种已知的并发症,需要对其发生率和危险因素进行调查.
研究的目的:
- 为了确定CT引导的肺结节活检后肺出血的发生率.
- 确定增加高度出血 (HGH) 风险的因素.
- 为了总结管理这种并发症的技术建议.
主要方法:
- 一项观察性研究涉及从2021年4月至2022年4月期间从十个医疗中心收集数据.
- 分析患者数据以评估不同级别出血的发生率.
- 统计分析以确定HGH的保护性和风险因素.
主要成果:
- 高度出血 (HGH) 在27.2%的患者中发生.
- 对于HGH的保护因素包括手术前呼吸练习 (PBE),半自动切削针 (SCN),立即对比增强 (ICE) 和同轴技术 (CoT).
- HGH的危险因素包括更长的刺穿长度,状或中间结节的存在,主要肺动脉直径 (mPAD) >29毫米,以及较小的结节大小.
结论:
- 肺出血是CT引导的肺结节活检的一个重要并发症.
- 几种技术因素和患者的特征影响HGH的风险.
- 了解这些因素可以指导降低出血风险和提高患者安全的策略.
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