优化儿科脏活检:针尺寸和经过的影响
Yunus Yasar1, Mehmet Coskun2, Elif Yasar3
1University of Health Sciences, Umraniye Training and Research Hospital, Department of Radiology, Istanbul, TURKEY (Y.Y., M.D.).
Academic radiology
|April 24, 2025
概括
一个或两个通道的16G针对于儿科脏活检是最佳的,最大限度地提高了淋巴细胞产量和安全性. 使用三次或更多次通过会增加并发症的风险,因此应避免使用.
科学领域:
- 儿科脏病学 儿科脏病学
- 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:
- 儿科原生细胞活检对于诊断脏疾病至关重要.
- 优化活检技术对于改善诊断产量和患者安全至关重要.
- 实时超声波 (美国) 指导通常用于儿科脏活检.
研究的目的:
- 评估针的尺寸和通过次数对儿科本源脏活检中的并发症率和球产量的影响.
- 确定在实时超声波指导下进行的儿科脏活检的最佳方法.
主要方法:
- 在2019年3月至2022年2月期间进行的儿科原生细胞活检的回顾性分析.
- 16G和18G针之间并发症率和球产量的比较.
- 根据针刺次数分析并发症率和球产量.
- 评估诊断的充分性与针的尺寸和通过.
主要成果:
- 没有报告重大并发症;小并发症发生在38.6%的病例中.
- 在16G和18G针之间,并发症率没有显著差异,但随着越来越多的通过 (p<0.001) 增加.
- 与18G针 (22.6) 相比,使用16G针 (34.6) 的平均球产量更高 (p<0.001).
- 18G针与采样不足有关 (p=0.024).
结论:
- 实时超声导向儿科脏活检是一种安全的程序.
- 一个16G针,一个或两个通过优化了球产量,而不会增加并发症.
- 建议尽量减少针传递到一个或两个,以避免增加并发症.
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