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与哺乳期患者的手术并发症相关的因素 接受图像引导的核心针乳房活检
Eun L Langman1, Connie Kim1, Sora C Yoon1
1Department of Radiology, Duke University Medical Center, Durham, NC, USA.
哺乳期患者乳腺活检后的并发症很常见,但严重问题很少见. 大多数乳腺囊在继续母乳养后就会消失,而活检针尺不会影响结果.
科学领域:
- 放射学和成像学 放射学和成像学
- 乳腺健康 乳腺健康
- 手术病理学手术病理学
背景情况:
- 接受乳腺活检的哺乳期患者面临着独特的术后风险.
- 了解并发症因素对于患者的护理和管理至关重要.
研究的目的:
- 为了调查患者和程序因素与患有并发症的哺乳期患者接受图像引导的核心针乳房活检.
- 为了确定牛奶管和活检后感染的风险.
主要方法:
- 在88名哺乳期患者中对97个核心针乳房活检进行了回顾性审查 (2012年12月 - 2024年2月).
- 分析成像发现,手术细节,病理学和30天后的并发症.
- 使用费舍尔的精确测试,逻辑回归和千平方测试进行统计分析.
主要成果:
- 观察到的并发症率为21.6%,包括乳腺 (12.5%) 和感染 (11.4%).
- 在产科分娩日期附近和更接近乳头的活检增加了并发症风险 (P = .03,P = .04).
- 牛奶囊显著增加感染风险 (OR=16,P=.0003);在继续母乳养的情况下,81.8%的情况得到解决.
结论:
- 哺乳期患者的核心针活检可能会导致并发症,尽管严重事件很少发生.
- 活检针标量和组织体积与乳腺或其他并发症没有相关性.
- 大多数乳腺都在不中断母乳养的情况下消失,这凸显了保守管理的重要性.
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