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胸部病变的超声导向皮肤内核活检:诊断产量和特定地点的安全性

Yosuke Murakami¹, Shota Sogabe¹, Kazuki Uchida¹

¹Department of Pulmonary Medicine, Iizuka Hospital, Fukuoka, Japan.

Respiratory investigation

|December 7, 2025

概括

超声导向的核心针活检为胸部病变提供了高的诊断产量. 严重的并发症很少见,主要与肺膜活检有关,而不是胸壁或胸腔部位.

科学领域:

肺部病理学肺部病理学
放射学放射学是一门学科.
干预程序干预程序

背景情况:

超声波 (美国) 引导的皮肤透析活检是胸部病变的常见工具.
基于穿刺部位的美国指导活检的比较安全性尚未得到充分证实.
这项研究评估了床边美国指导核心针活检的诊断产量和安全性.

研究的目的:

为了评估美国指导的核心针活检的诊断准确性.
为了根据活检穿孔部位来比较并发症率.
为了确定这种手术对各种胸部病变的安全性和可行性.

主要方法:

对168名接受美国指导核心针活检的患者的回顾性审查.
由肺病学家使用没有同轴系统的18度针进行的活检.
损伤分类 (固体/异质) 和并发症分级 (克拉维恩-丁多系统).

主要成果:

在94.6%的患者中,具有充足组织的高诊断产量.
整体并发症率为7.1%,肺胸病是最常见的 (4.7%).
严重的不良事件 (等级IV-V) 仅限于肺膜活检; 胸壁,膜或中膜活检没有发生此类事件.

结论:

美国指导的皮肤内核活检显示出高诊断准确度和低并发症率.
程序的安全性取决于场所,肺膜标会带来更高的风险.
这是一种可行的第一线方法,用于肺外胸部病变,需要对肺内点保持谨慎.

关键词:

复杂性复杂性复杂性诊断产出率是一个问题.通过皮肤进行活检.肺部胸部肺部胸部胸部超声波扫描胸部超声波扫描

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