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超声引导下经皮肺活检术在介入放射诊疗中心的应用 **解析**:原文中“Lung lesions”为“肺部病变”,“tertiary care centre”为“三级诊疗中心”。

Ultrasound Guided Biopsy among Patients with Lung Lesions Undergoing Procedures in Interventional Radiology of a Tertiary Care Centre.

机构信息

Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2024 Jan 2;62(269):27-29. doi: 10.31729/jnma.8397.

DOI:10.31729/jnma.8397
PMID:38410012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10924494/
Abstract

INTRODUCTION

Minimally invasive image-guided percutaneous core needle biopsy can obtain tissue samples for diagnosis of subpleural lung cancer, which is crucial for the correct management of lung lesions. Common complications of lung biopsy include pneumothorax, parenchymal haemorrhage and haemoptysis. The study aimed to determine the prevalence of ultrasound-guided biopsy among patients with lung lesions undergoing procedures in interventional radiology of a tertiary care centre.

METHODS

A descriptive cross-sectional study was performed in the Department of Radiology and Imaging from 1 August 2018 to 30 September 2019 after obtaining ethical approval from the Institutional Review Committee. USG-guided biopsy of peripheral lung lesions was performed with an 18 gauge semiautomatic biopsy instrument and a 17 gauge coaxial needle. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.

RESULTS

Among 188 biopsy of lung lesions, ultrasound-guided biopsies were performed in 28 (14.89%) (9.80-19.98, 95% Confidence Interval).

CONCLUSIONS

The prevalence of ultrasound guided biopsy among lung lesions is lower than other studies done in similar settings.

KEYWORDS

biopsy; interventional radiology; lung neoplasms; prevalence.

摘要

简介

微创影像引导经皮核心针活检可获取用于诊断胸膜下肺癌的组织样本,这对肺癌病变的正确处理至关重要。肺活检的常见并发症包括气胸、实质内出血和咯血。本研究旨在确定在一家三级保健中心的介入放射学部门进行的肺病变患者中,超声引导活检的流行情况。

方法

在获得机构审查委员会的伦理批准后,于 2018 年 8 月 1 日至 2019 年 9 月 30 日在放射学和影像学系进行了一项描述性的横断面研究。使用 18 号半自动活检仪和 17 号同轴针对周围性肺病变进行超声引导活检。采用便利抽样法。点估计值在 95%置信区间内计算。

结果

在 188 例肺病变活检中,有 28 例(14.89%)(9.80-19.98,95%置信区间)进行了超声引导活检。

结论

与在类似环境中进行的其他研究相比,超声引导活检在肺病变中的流行率较低。

关键词

活检;介入放射学;肺肿瘤;流行率。

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Ultrasound-Guided Percutaneous Needle Biopsy for Small Pleural Lesions: Diagnostic Yield and Impact of CT and Ultrasound Characteristics.超声引导经皮穿刺活检用于胸膜小结节:CT 和超声特征的诊断效能及影响。
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Ultrasound- Versus CT-Guided Subpleural Lung and Pleural Biopsy: An Analysis of Wait Times, Procedure Time, Safety, and Diagnostic Adequacy.超声引导与CT引导下的胸膜下肺及胸膜活检:等待时间、操作时间、安全性及诊断充分性分析
Can Assoc Radiol J. 2021 Nov;72(4):883-889. doi: 10.1177/0846537120939073. Epub 2020 Jul 16.
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Percutaneous biopsy of thoracic lesions: value of sonography for needle guidance.胸部病变的经皮活检:超声引导穿刺的价值
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