相关实验视频
Updated: Jun 20, 2025

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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
658
光学指导的皮肤穿越胸腔的多叶膜囊活检在患有排泄性多叶膜输液的患者中
Doo Ri Kim1, In Chul Nam2, Hye Jin Baek3,4
1Department of Radiology, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, Republic of Korea.
Korean journal of radiology
|July 19, 2024
概括
在光学指导下进行皮肤穿越胸腔的胸腔囊活检 (PTPFB),可以准确地诊断出排泄性胸腔溢出中的恶性瘤. 这种安全的程序提供了高的诊断性能与最小的并发症.
科学领域:
- 医疗成像医学成像
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
背景情况:
- 露出性流的诊断往往依赖于侵入性手术.
- 皮肤间的胸腔外皮囊活检 (PTPFB) 是一种微创的选择.
研究的目的:
- 为了评估光学引导的PTPFB的诊断准确性和程序特征,用于排泄性多溢液.
- 为了比较PTPFB的诊断性能与腹细胞学.
主要方法:
- 追溯分析71名患有排泄性肺溢液的患者接受了PTPFB.
- 评估程序特征:活检间隔,活检次数,程序时间和并发症.
- 对恶性瘤诊断的灵敏度,特异性和准确性的计算.
主要成果:
- PTPFB的诊断准确度很高 (88.7%仅用于PTPFB,93.0%与细胞学相结合).
- 该手术是安全的,并发症率低 (1.4%小出血).
- 与单独细胞学相比,联合PTPFB和腹细胞学显著提高了灵敏度和准确性 (P=0.008和P=0.001).
结论:
- 光学引导的PTPFB是一种精确和安全的诊断方法,用于排泄性多流液.
- 该技术提供了可接受的诊断性能,低并发症率和合理的程序时间.
- 将PTPFB与多细胞学结合起来,可以提高恶性瘤的诊断产量.
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