Chiappetta Marco, Meacci Elisa, Cesario Alfredo, Smargiassi Andrea, Inchingolo Riccardo, Petracca Ciavarella Leonardo, Lopatriello Stefania, Contegiacomo Andrea, Congedo Maria Teresa, Margaritora Stefano
Thoracic Surgery, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy.
Thoracic Surgery, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy.
Ultrasound Med Biol. 2018 Sep;44(9):1960-1967. doi: 10.1016/j.ultrasmedbio.2018.05.009. Epub 2018 Jul 3.
The aim of this study was to analyze the information from post-operative chest ultrasound (CU) to evaluate the possibility to use this method instead of chest X-ray (CXR) after thoracic surgery. Patients who underwent thoracic surgery were evaluated with CU blinded to CXR after surgery, deciding if it was useful or CU was exhaustive. Twenty-four patients were enrolled prospectively. The CU allowed a further discrimination of the lung abnormalities, discriminating between atelectasis, infections or hematoma. CXR was required in only 5 cases due to the presence of massive subcutaneous emphysema or absence of lung point. In the remaining 19 cases, CU was considered exhaustive and effective. In particular, CU was considered exhaustive in 67% of cases after open surgery and in 85% of cases after video-assisted thoracic surgery. In conclusion, CU appears to be effective in post-operative management after thoracic surgery and it can increase the diagnostic accuracy reducing any unnecessary X-ray exposure.
本研究的目的是分析术后胸部超声（CU）的信息，以评估在胸外科手术后使用该方法替代胸部X线（CXR）的可能性。对接受胸外科手术的患者在术后进行CU检查，检查时不了解CXR的结果，以确定其是否有用或CU是否全面。前瞻性纳入了24例患者。CU能够进一步区分肺部异常情况，鉴别肺不张、感染或血肿。仅5例因出现大量皮下气肿或无肺点而需要进行CXR检查。在其余19例中，CU被认为是全面且有效的。特别是，在开胸手术后67%的病例以及电视辅助胸腔镜手术后85%的病例中，CU被认为是全面的。总之，CU在胸外科手术后的管理中似乎是有效的，并且它可以提高诊断准确性，减少任何不必要的X线照射。
