超声导向皮肤活检后并发症的预后因素:一项为期7年的回顾性研究
Sehyun Jung1, Seunghye Lee1, Hyejin Jeon1
1Division of Nephrology, Department of Internal Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Jinju, South Korea.
Journal of clinical ultrasound : JCU
|August 6, 2025
概括
超声导向脏活检通常是安全的,大多数并发症都是轻微的. 年龄较大,肥胖和吸烟与此诊断过程中的并发症较少有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 超声导向的皮肤活检是一种至关重要的诊断程序.
- 这种手术具有固有的并发症风险.
- 了解这些风险对于患者安全至关重要.
研究的目的:
- 为了评估与超声波引导的皮肤活检相关的并发症率.
- 确定影响并发症发生的临床和程序因素.
- 评估活检技术的整体安全概况.
主要方法:
- 对627名接受超声波导向皮肤通活检 (2013-2019) 的患者进行了回顾性分析.
- 使用后勤回归模型来确定风险因素.
- 对人口,临床和程序变量进行了调整.
主要成果:
- 75%的患者出现并发症,最常见的是血液瘤 (69.7%) 和疼痛 (14.5%).
- 高龄,肥胖和吸烟独立地与降低并发症风险有关.
- 针对这些因素,报告了特定的调整赔率比率 (OR) 和置信区间 (CI).
结论:
- 超声导向皮肤活检的并发症很常见,但通常是轻微的和可控的.
- 老年,肥胖和吸烟是防止活检并发症的保护因素.
- 这些发现支持该程序的整体安全性,并强调需要个性化风险评估.
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