肺科医生进行的超声波导向细针吸入肺病变的肺病变
Chin-Tong Kwok1, Yiu-Cheong Yeung1, Yu-Hong Chan1
1Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong, China.
Reports (MDPI)
|July 29, 2025
概括
肺部病变的肺科医生进行的超声波引导细针吸收 (FNA) 显示出良好的诊断准确度 (80.4%) 和低并发症率 (5.3%). 这种方法是获取组织用于组织学诊断的可靠选择.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是指放射学
- 在瘤学瘤学.
背景情况:
- 准确诊断肺癌对于个性化治疗至关重要.
- 超声引导的皮肤细针吸收 (FNA) 是诊断周围肺病变的关键方法.
- 重要的是要评估不同专家执行的程序的有效性和安全性.
研究的目的:
- 评估肺部外围肺部病变的肺科医生进行的超声导向FNA的诊断准确度和并发症率.
- 为了将这些结果与放射科医生进行的超声导向核心针活检 (CNBs) 进行比较.
主要方法:
- 对诊断准确度和并发症率的回顾性评估.
- 肺病学家进行的超声波引导FNAs (n=113,2019-2021) 和放射学家进行的超声波引导CNBs (n=68,2010-2014) 的比较.
- 后勤回归分析,以确定影响诊断准确性的因素.
主要成果:
- 肺科医生进行的FNA实现了80.4%的诊断准确率,并发症率为5.3%.
- 放射科医生进行的CNB显示诊断准确率为86.8%,并发症率为7.4%.
- 上叶肺部病变被确定为成功诊断的预测因素.
结论:
- 由肺病学家进行的超声导向FNA是一种可靠和可访问的方法,用于获得用于组织学诊断的标本.
- 这种程序为诊断外围肺病变提供了可行的替代方案.
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