在眼科手术中对手术前胸部放射图的发现和利用情况的调查
Yohei Kuroki1, Ayako Takamori2, Koichiro Takahashi3
1Department of Ophthalmology, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan.
Journal of clinical medicine
|July 13, 2024
概括
在眼科手术前进行手术前的胸部放射 (CXR) 非常有价值,特别是在老年患者中,它揭示了严重的疾病并有助于长期患者的结果. 这种成像对外科手术前管理和患者整体健康有益.
科学领域:
- 眼科医生 眼科 眼科
- 放射学 放射学是一门学科.
- 老年病的医生 老年病的医生
背景情况:
- 手术前的胸部放射 (CXR) 经常在眼科手术前使用.
- 在这种情况下,手术前CXR的临床意义和产量需要重新评估.
研究的目的:
- 在接受眼科手术的患者中调查术前胸部放射 (CXR) 的发现和实用性.
- 评估CXR发现对外科手术期间管理和患者预后的影响.
主要方法:
- 对1616名接受眼科手术的患者进行了回顾性观察性研究.
- 对CXR发现,干预和结果的放射学报告的分析.
主要成果:
- 33.4%的患者有异常的手术前CXR发现; 4.6%是新发现的.
- 在70岁以上的患者中,异常很常见,间歇性阴影是最常见的发现.
- 很少有患者 (0.19%) 需要立即进行手术前干预,但术后随访发现0.5%的患者患有肺癌等严重疾病.
结论:
- 手术前的CXR识别出重大疾病,特别是在老年患者中,即使立即干预很少.
- CXR有助于术后全身管理,并可导致关键的术后诊断和治疗.
- 这项研究支持术前CXR对眼科手术患者的持续效用,特别是那些≥70岁的患者,以改善预后.
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