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Updated: Jun 4, 2025

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肺结节的CT指导的胸外核针活检:当前的做法,有效性和安全性考虑

Amalia Constantinescu¹, Emil Robert Stoicescu^2,3,4,5, Roxana Iacob^3,5,6

¹Doctoral School, 'Victor Babes' University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 6 No. 2, 300041 Timisoara, Romania.

Journal of clinical medicine

|December 17, 2024

概括

CT-TTNB是诊断肺结节的安全有效方法,提供高准确度. 进步提高了它的精度和安全性,用于肺部诊断.

科学领域:

肺部病理学肺部病理学
放射学放射学是一门学科.
干预程序干预程序

背景情况:

在诊断肺结节时,CT-TTNB (CT-Guided Transthoracic Core-Needle Biopsy) 非常重要.
与外科活检相比,它提供了高的诊断产量和低的并发症率.

研究的目的:

为CT-TTNB提供一个全面的审查.
专注于指示,技术,诊断产量和安全性.

主要方法:

对2013-2024年研究的系统文献综述.
搜索的数据库:PubMed,科学网,Scopus,科克兰图书馆.
遵循的方法:SANRA.

主要成果:

诊断产量为85-95%;恶性瘤检测灵敏度为92%-97%.
影响成功的因素:结节大小,深度,针通过,成像.
并发症的发生率:肺胸 (12-45%),出血 (4-27%).

结论:

CT-TTNB是一种可靠的诊断肺结节的方法,特别是外围病变.
像PET/CT融合,人工智能和机器人技术这样的进步提高了精度和安全性.
仔细的患者选择和规划对于最佳结果至关重要.

关键词:

CT指导肺活检的有效性通过CT指导的胸前外皮活检.核心针活检肺部活检肺部活检肺活检安全肺活检安全肺癌的诊断肺癌的诊断肺癌的诊断最少侵入性的肺活检.在肺活检中的肺胸炎.肺出血活检肺出血活检肺结节的诊断肺结节的诊断跨胸部活检并发症胸前活检并发症

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