导航活检安全:在超声波和CT指导下并发症率
Theresa Sophie Patzer1,2, Franziska Müller1, Michael Meir3
1Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080 Würzburg, Germany.
Diagnostics (Basel, Switzerland)
|October 29, 2025
概括
超声导向活检比CT导向手术更快,更安全,并发症明显减少. 虽然CT导向活检显示出更高的并发症率,但大多数事件都是轻微的,很少危及生命.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 干预性放射学 干预性放射学
背景情况:
- 图像导向活检越来越常见,但存在风险.
- 技术成功率很高,但可能会出现并发症.
- 对不同成像方法的安全性进行比较至关重要.
研究的目的:
- 为了比较超声导向与CT导向皮活检的安全性和有效性.
- 分析程序持续时间,技术成功率和并发症率.
- 评估与每个模式相关的并发症的类型,严重程度和时间.
主要方法:
- 对250名接受肝脏,胸部,关节,淋巴结或骨活检的患者进行了回顾性研究.
- 超声指导和CT指导的皮肤穿透活检程序的比较.
- 分析手术持续时间,技术成功,并发症细节和辐射剂量 (CT).
主要成果:
- 总体而言,技术成功率为97.6%,模式之间没有显著差异.
- 超声导向活检显著更快 (19分钟对比CT的25.5分钟).
- 与超声波导向活检 (7.6%) 相比,CT导向活检的并发症率明显高 (30.3%),CT导向活检的出血和肺胸部更频繁.
结论:
- CT导向活检与更高的并发症率有关,可能是由于复杂性和轻微事件的检测.
- 大多数活检后并发症是轻微的,发生在四小时内.
- 严重的并发症在两种治疗方式中都是罕见的,没有报告任何危及生命的事件.
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