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患有间歇性肺病和肺瘤的患者的射频消化:一项回顾性多中心研究
Akira Yamamoto1, Takao Hiraki2, Osamu Ikeda3
1Department of Diagnostic and Interventional Radiology, Osaka Metropolitan University, Osaka, Japan.
Journal of vascular and interventional radiology : JVIR
|June 22, 2024
概括
在患有间歇性肺病 (ILD) 患者的肺部瘤中,射频 (RF) 除是可行的. 然而,急性恶化发生在8%的患者中,死亡率很高,强调需要仔细选择患者.
科学领域:
- 肺部病理学 肺部病理学
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 间歇性肺病 (ILD) 复杂化了肺部瘤的治疗决策.
- 穿皮射频 (RF) 除是一种对肺部瘤的最小侵入性选择.
研究的目的:
- 评估在患有肺瘤和ILD的患者中RF剥离的安全性和有效性.
- 确定不良事件的危险因素,特别是ILD的急性恶化.
主要方法:
- 对49名肺部新生瘤和ILD患者进行了回顾性多中心研究,这些患者接受了RF剥离.
- 评估技术成功,局部瘤进展 (LTP) 和不良事件,包括ILD恶化.
- 单变量分析以确定与急性恶化相关的因素.
主要成果:
- 在所有患者中都取得了成功的射频废除.
- 在8%的会议中,ILD的急性恶化发生,受影响患者的死亡率为45%.
- 胸腔溢液和切除后发烧是急性恶化的重要危险因素;累计LTP在1年内为43%.
结论:
- 射频消化是ILD患者肺部瘤的可行治疗方法.
- 由于延迟急性恶化和相关死亡率的风险,密切监测至关重要.
- 进一步的研究可能会优化患者选择和管理协议.
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