机器人辅助支气管镜术期间的呼吸暂停氧化:关于安全性和诊断收益的回顾性研究
Kim Styrvoky1, Alexandra L Levine2, Andrew D Nguyen3
1Section of Interventional Pulmonology, Division of Thoracic Oncology, Department of Surgical Oncology, Orlando Health Cancer Institute, Orlando, FL, USA.
Journal of thoracic disease
|November 13, 2025
概括
在外周肺损伤 (PPL) 活检的机器人辅助支气管镜检查 (RAB) 期间长时间的呼吸暂停氧化似乎是安全有效的. 这种技术在选定的患者中实现了88%的诊断收益率,可管理的不良事件.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 医疗器械 医疗器械
背景情况:
- 机器人辅助支气管检查 (RAB) 是为外围肺病变 (PPL) 活检而建立的.
- 无呼吸氧化通常在RAB期间短暂使用.
- 有限的数据存在于RAB活检期间延长的呼吸暂停氧化.
研究的目的:
- 评估PPLs的RAB活检期间长时间的呼吸暂停氧化的安全性和诊断结果.
主要方法:
- 对患者进行RAB与mCBCT进行PPL活检的回顾性研究.
- 麻醉方案包括长时间的呼吸暂停氧化.
- 收集有关人口统计,程序,不良事件和诊断结果的数据.
主要成果:
- 108个手术,136个PPL进行了活检 (中位尺寸15毫米).
- 无呼吸氧化的平均持续时间:23分钟.
- 平均ETCO2从23mmHg增加到59mmHg.
- 65%需要血管压缩剂 (没有长期影响).
- 4.6%的立即不良事件 (所有出血,1.9%的4级);没有肺胸.
- 在RAB.指数下88%的诊断收益率.
结论:
- 第一个关于在RAB中延长无呼吸氧化的研究,用于PPL活检.
- 技术可能是安全的和诊断在选定的患者.
- 需要拥有先进支气管镜和外科手术专业知识的中心.
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