在CT指导肺活检中不同技术和并发症之间的关系:单中心综合分析CT指导肺活检:技术和相关并发症
Bünyamin Korkmaz1, Halil İbrahim Şara1, Süleyman Bakdık2
1University of Health Sciences, Beyhekim Education and Research Hospital, Konya, Turkey.
Polish journal of radiology
|November 20, 2025
概括
优化技术,如限制腹腔穿孔和样本数量,可以减少在计算机断层扫描指导的腹腔外肺活检期间出现的肺胸炎等并发症. 自主血栓使用也降低了风险.
科学领域:
- 放射学 放射学是一门学科.
- 干预性肺病学 干预性肺病学
- 胸部外科手术 胸部外科手术
背景情况:
- 计算机断层扫描指导的胸外肺活检 (CTTB) 对于诊断肺病变至关重要.
- 了解影响CTTB并发症的因素对于患者安全和程序成功至关重要.
研究的目的:
- 研究各种技术,病变特征和肺胸 (Ptx),需要Ptx的胸管和1型膜伤 (T1PC) 的发病率之间的关系.
- 确定可修改的因素,可以最大限度地减少CTTB相关的并发症.
主要方法:
- 对2015年至2020年期间执行的510个CTTB程序进行了回顾性分析.
- 根据针系统 (同轴/非同轴),针尺,自主血凝块 (OBC) 使用,病变特征,接近,多通道和样本数量来对患者进行分类.
- 使用单变量和多变量逻辑回归来评估并发症风险的统计分析.
主要成果:
- 肺胸病风险在男性中更高,肺瘤,中叶病变,侧向接近,多个肺通过/样本和特定针标 (18G NCx,19G Cx).
- 自主血凝块的使用与肺胸部风险降低有关.
- 需要胸腔导管的肺胸部与多个胸腔通道/样本和19G Cx针相关.
- 1型对瘤伤与17G Cx针和多个样本有关;然而,18G NCx和19G Cx针,以及没有肺胸部,降低了T1PC风险.
结论:
- 优化CTTB技术,包括限制腹腔穿孔和样本数量,可以降低并发症率.
- 对于降低风险至关重要的是使用自身血凝块,选择针标和患者特异性疾病 (例如肺气) 等因素.
- 根据这些发现量身定制程序参数可以提高CTTB的安全概况.
相关概念视频
Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
498
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
498
Radiological Investigation I: X-ray and CT
1.0K
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
1.0K
Computed Tomography
7.9K
Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
7.9K
Radiological Investigation III: Pulmonary Angiogram and PET Scan
390
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
390


