在肺部射频除后使用凝海绵鱼雷时,胸管放置的发生率
Pauline Graveleau1, Éric Frampas1, Christophe Perret1
1Department of Radiology, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes, France.
Research in diagnostic and interventional imaging
|July 30, 2024
概括
凝鱼雷栓塞在肺瘤切除后显著减少了胸腔管的放置. 这种技术没有影响住院,但被证明是安全的,没有发现任何并发症.
科学领域:
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
- 肺部医学 肺部医学
背景情况:
- 穿皮射频除 (PRFA) 是一种治疗肺部瘤病变的方法.
- 胸管安置和长时间住院是PRFA后的潜在并发症.
- 寻求新的技术来改善PRFA后的结果.
研究的目的:
- 为了评估凝鱼雷在PRFA之后对肺部瘤的栓塞的疗效.
- 为了确定这种技术是否会减少胸腔管的安置和住院时间.
- 评估凝栓塞技术的安全性.
主要方法:
- 在两个中心对肺部瘤病变的114个PRFA程序进行了回顾性审查.
- 使用凝鱼雷栓塞 (凝组) 的42项手术与没有 (对照组) 的72项手术进行比较.
- 多变量分析以确定胸腔管放置和住院时间的预测因素.
主要成果:
- 与对照组 (37.5%) 相比,凝组 (7.1%) 的胸管放置率明显较低,p < 0.001.
- 凝鱼雷栓塞与胸腔管位的减少显著相关 (OR:0.09;95% CI:0.02-0.32;p = 0.0006).
- 两组之间没有观察到住院时间或栓塞并发症的显著差异.
结论:
- 对于肺瘤病变的PRFA后的凝鱼雷栓塞有效地减少了胸腔管安置的需要.
- 在这项研究中,该技术并没有显著改变住院时间.
- 凝栓塞是PRFA的安全补充剂,没有报告重大并发症.
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