评估大肠和中肠核心针活检中意外肠道采样的风险
Lutfullah Sari1, Francesca Rigiroli1, Zeynep Nur Akyol Sari1
1Departments of Radiology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
通过皮肤进行大肠和中肠活检时无意中取取肠道样本是罕见的 (2.3%) 并且通常是良性的,即使没有肠道制备或抗生素. 精细的技术是必要的,以尽量减少风险.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 透皮活检的体和体是常见的程序.
- 邻近肠道的意外取样可能发生,发生率和结果不明.
研究的目的:
- 评估CT和美国指导的口腔和中肠活检期间不经意间采集肠道样本的发生率和临床结果.
- 评估该程序的安全性,特别是在没有肠道准备或抗生素预防的患者中.
主要方法:
- 对265名接受CT和使用17-G引入器和18-G半自动针进行美国指导的口腔/介质活检的患者进行了回顾性研究.
- 用描述性统计数据分析了活检位置,患者人口统计和临床结果.
主要成果:
- 在2.3% (6/265) 的活检中,意外的肠道采样发生了.
- 无意抽取样本的患者年龄较大 (中位数为83.5岁与66岁相比),并且更有可能进行中肠 (66.7%) 与口腔活检.
- 在手术后的30天内,没有发生临床上显著的肠孔或相关的入院.
结论:
- 通过皮肤进行大肠和中肠活检时意外采集肠道样本是一个罕见的事件.
- 事件似乎是良性的,即使没有肠道准备或抗生素覆盖.
- 精细的技术至关重要,以尽量减少并发症的风险.
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