肺部病变的皮肤穿越胸腔针活检是一种安全的方法,与肺部复发的风险非常低有关
Martin Svaton1, David Havel1, Marcela Buresova1
1Department of Pneumology and Phthisiology, Faculty of Medicine Pilsen, Charles University, University Hospital in Pilsen, Pilsen, Czech Republic.
概括
肺病变的皮肤穿越胸腺针活检 (PTNB) 是一种安全有效的诊断工具. 这项研究发现,肺复发和急性并发症的风险非常低,支持其作为支气管镜检查的替代品的使用.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
背景情况:
- 皮肤穿越胸腔针活检 (PTNB) 是支气管镜检查诊断肺病变的替代方案.
- 有关PTNB风险存在担忧,包括肺胸炎,出血,以及恶性瘤的潜在肺部播种.
- 之前关于PTNB后膜复发风险的研究仅限于早期非小细胞肺癌.
研究的目的:
- 为了评估所有类型的肺病变的PTNB后膜复发的风险.
- 为了评估PTNB的诊断产量.
- 为了确定与PTNB相关的肺胸部和出血的发生率.
主要方法:
- 从普尔森大学医院的患者数据的回顾性研究.
- 纳入标准:在2018年1月1日至2022年12月31日期间,为肺病变接受PTNB的患者.
- 收集的数据包括诊断产量,肺胸部,出血和胸复发率.
主要成果:
- PTNB的诊断收益率为86.6%.
- 在没有先前膜透的患者中,4.8%的患者出现了ipsilateral膜溢出,0.7%的患者确诊了恶性病变.
- 需要干预的并发症包括肺胸部 (3.4%) 和出血 (1.1%).
结论:
- PTNB表现出高灵敏度和低急性并发症率,需要侵入性治疗.
- 肺病变PTNB后腹复发的风险是最小的.
- 在肺病变诊断中,PTNB仍然是支气管透镜活检的有价值替代品.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
86
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
86
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
177
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
177
Endoscopic Studies II: Thoracocentesis
212
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
212
Radiological Investigation I: X-ray and CT
216
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
216


