在低剂量计算机断层扫描中发现的心胸相关肺外发现的发生率和管理
Hamza Rshaidat1, Luke Meredith1, Jacob Woodroof1
1Division of Esophageal and Thoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
The Annals of thoracic surgery
|May 30, 2024
概括
低剂量的CT用于肺癌查,经常会显示出肺外发现,如间歇性和胸腔动脉瘤. 缺口的转诊模式可能需要改进,而胸腔动脉瘤通常不需要立即转诊给心胸外科医生.
科学领域:
- 心胸外科手术 心胸外科手术
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
背景情况:
- 低剂量计算机断层扫描 (CT) 用于肺癌查.
- 在低剂量CT扫描中偶然发现的肺外发现需要评估.
- 了解这些发现的流行和管理对于患者护理至关重要.
研究的目的:
- 为了确定肺癌查期间低剂量CT扫描中肺外发现的发生率.
- 描述这些偶然发现的管理和转诊模式.
- 确定心胸外科手术评估目前的转诊过程中的潜在缺口.
主要方法:
- 对接受低剂量CT肺癌查 (2018-2022) 的患者进行回顾性队列研究.
- 电子病历审查,收集关于偶然发现的数据.
- 对人口统计,工作,推和管理数据的分析.
主要成果:
- 在2285名患者中,16%的患者有肺外发现,需要潜在的心胸外科医生评估.
- 缺口 (6.3%) 和上升胸腔动脉瘤 (3.6%) 是最常见的.
- 症状性椎间的转诊率 (29%) 比无症状的转诊率 (6.25%) 高.
- 胸腺动脉瘤的转诊和监测率因大小而异.
结论:
- 缺口和上升的胸腔动脉瘤是肺癌查CT的常见偶然发现.
- 对于椎间的转诊模式似乎存在不一致.
- 对于所有胸腔动脉瘤,通常会把心胸外科医生推送给心胸外科医生,最初可能不需要.
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