正常的盐水注射和快速翻转;CT引导肺活检后肺胸病发病率的预防作用:一项回顾性队列研究
Hiroki Satomura1, Hiroki Higashihara2, Yasushi Kimura2
1Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, 565-0871, Osaka, Japan. h-satomura@radiol.med.osaka-u.ac.jp.
一种新技术结合了正常的盐道密封和快速的患者翻转,大大减少了CT引导肺活检后胸腔管的需要,改善了患者的治疗结果.
科学领域:
- 肺部医学 肺部医学
- 干预性放射学 干预性放射学
- 医疗器械技术 医疗器械技术
背景情况:
- 计算机断层扫描 (CT) 引导的肺活检对于诊断肺病变至关重要.
- 肺胸炎是一个显著的并发症,现有的方法缺乏确定的疗效.
- 尽量减少肺胸风险对于CT导向肺活检程序中的患者安全至关重要.
研究的目的:
- 评估结合正常盐水道密封和快速翻转在减少肺胸部和胸腔管插入方面的有效性.
- 评估这一新技术在CT指导肺活检中的安全性和有效性.
主要方法:
- 从2016年10月到2021年12月CT引导肺活检的回顾性审查.
- 第1组:没有具体并发症缓解的标准程序 (n=130).
- 第二组:使用正常的盐水管封闭和快速翻转的活检后 (n=173).
主要成果:
- 两组之间肺胸病的总体发病率没有显著差异 (30.0%对23.1%).
- 与第一组 (7.7%) 相比,第二组 (0.6%) 的胸管插入率明显较低 (P=.001).
- 结合的技术表明没有相关的并发症.
结论:
- 正常的盐水注射和快速翻转的结合有效地减少了需要胸管干预的肺胸.
- 这种技术在CT指导的肺活检中作为一种有价值的预防措施,防止严重的肺胸病.
- 综合方法是安全的,并减少了对活检后侵入性干预的需要.
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