胸腔穿刺期间呼吸阶段对CT引导皮肤肺部活检并发症的影响
Journal of the Korean Society of Radiology
|June 14, 2024
概括
在CT指导的皮肤穿越胸腺针活检 (PTNB) 中,在呼气阶段进行胸腔穿刺显著降低了肺胸风险. 这一发现提供了一种简单而有效的方法来提高肺活检期间的患者安全.
科学领域:
- 放射学 放射学是一门学科.
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
背景情况:
- 通过CT指导的皮肤穿越胸腺针活检 (PTNB) 是诊断肺部异常的常见程序.
- 肺胸部是PTNB已知的并发症,可能受到程序因素的影响.
- 优化程序技术可以提高患者的安全性,降低并发症率.
研究的目的:
- 为了研究肺部穿刺期间呼吸阶段对CT引导PTNB的并发症率的影响.
- 为了确定在特定的呼吸阶段进行胸腔穿刺是否可以减轻肺胸风险.
主要方法:
- 在自由呼吸过程中进行的肺活检中的477个CT扫描的回顾性审查.
- 根据CT成像,对胸腔穿刺进行分类,分为吸入,中和呼气阶段.
- 统计比较不同呼吸阶段的并发症率,特别是肺胸部,与混因素的后勤回归.
主要成果:
- 在47.6%的病例中,在呼气阶段,在22.6%的病例中,在中间阶段,在29.8%的病例中,在呼气阶段发生了腹孔.
- 与中期阶段组 (28.7%) 相比,呼气组 (17.6%) 的肺胸部发病率明显较低.
- 在控制混杂因素后,呼气阶段的刺穿被确定为对肺胸部的独立保护因素 (OR=0.571,p=0.017).
结论:
- 在呼气阶段进行胸腔穿刺与CT引导PTNB的肺胸部风险降低有关.
- 这一发现建议对PTNB技术进行实际修改,以提高安全性.
- 进一步的前性研究可能会验证这些发现,并完善程序指南.
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