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Radiology：CT引导下肺活检如何防止气胸？

2019-06-05 shaosai MedSci原创

CT引导下肺活检气胸？
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本研究旨在比较自体血补片注射（ABPI）与水凝胶注射对CT引导下穿刺肺活检气胸发生率的影响。

本研究旨在比较自体血补片注射（ABPI）与水凝胶注射对CT引导下穿刺肺活检气胸发生率的影响。

本研究进行非劣性试验设计来评价ABPI，与水凝胶补丁相比，以10%非劣性为截断值，比较活检2小时后气胸发生率。设定I型错误率为0.05和90%效能对552例患者进行研究。所有潜在性CT引导下肺活检患者均纳入研究。

结果为，最终试验共纳入453例患者并随机分为ABPI组(n = 226)和水凝胶补丁组(n = 227)。其中共有407例患者进行了肺活检。ABPI组和水凝胶补丁组术后2小时气胸发生率分别为21% (42/199)，29% (60/208)，胸腔置管率分别为9% (18 /199)，13% (27/208)，延迟2周内气胸发生率分别为1.4% (3/199)，1.5% (3/208)。

本研究表明，关于CT引导下穿刺肺活检后气胸发生率自体血凝补片注射并不劣于水凝胶补丁。

原始出处：

Maybody M， Muallem N， Brown KT，et al.Autologous Blood Patch Injection versus Hydrogel Plug in CT-guided Lung Biopsy： A Prospective Randomized Trial.Radiology.DOI：10.1148/radiol.2018181140

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    2019-06-07 仁者大医

    #活检#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1278147, encodeId=2e2812e81475f, content=<a href='/topic/show?id=d34e6523544' target=_blank style='color:#2F92EE;'>#活检#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65235, encryptionId=d34e6523544, topicName=活检)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1441849, encodeId=42a414418492a, content=<a href='/topic/show?id=ee95638550d' target=_blank style='color:#2F92EE;'>#气胸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63855, encryptionId=ee95638550d, topicName=气胸)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b0f4898732, createdName=12498c32m69暂无昵称, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457312, encodeId=4946145e312c4, content=<a href='/topic/show?id=61ec8215094' target=_blank style='color:#2F92EE;'>#肺活检#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82150, encryptionId=61ec8215094, topicName=肺活检)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=66e95876910, createdName=mfx801, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=367316, encodeId=056936e3164c, content=学习了，长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Jun 05 12:53:51 CST 2019, time=2019-06-05, status=1, ipAttribution=)]
    2019-06-07 12498c32m69暂无昵称

    #气胸#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1278147, encodeId=2e2812e81475f, content=<a href='/topic/show?id=d34e6523544' target=_blank style='color:#2F92EE;'>#活检#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65235, encryptionId=d34e6523544, topicName=活检)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1441849, encodeId=42a414418492a, content=<a href='/topic/show?id=ee95638550d' target=_blank style='color:#2F92EE;'>#气胸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63855, encryptionId=ee95638550d, topicName=气胸)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b0f4898732, createdName=12498c32m69暂无昵称, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457312, encodeId=4946145e312c4, content=<a href='/topic/show?id=61ec8215094' target=_blank style='color:#2F92EE;'>#肺活检#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82150, encryptionId=61ec8215094, topicName=肺活检)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=66e95876910, createdName=mfx801, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=367316, encodeId=056936e3164c, content=学习了，长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Jun 05 12:53:51 CST 2019, time=2019-06-05, status=1, ipAttribution=)]
    2019-06-07 mfx801

    #肺活检#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1278147, encodeId=2e2812e81475f, content=<a href='/topic/show?id=d34e6523544' target=_blank style='color:#2F92EE;'>#活检#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65235, encryptionId=d34e6523544, topicName=活检)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1441849, encodeId=42a414418492a, content=<a href='/topic/show?id=ee95638550d' target=_blank style='color:#2F92EE;'>#气胸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63855, encryptionId=ee95638550d, topicName=气胸)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b0f4898732, createdName=12498c32m69暂无昵称, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457312, encodeId=4946145e312c4, content=<a href='/topic/show?id=61ec8215094' target=_blank style='color:#2F92EE;'>#肺活检#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82150, encryptionId=61ec8215094, topicName=肺活检)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=66e95876910, createdName=mfx801, createdTime=Fri Jun 07 03:48:00 CST 2019, time=2019-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=367316, encodeId=056936e3164c, content=学习了，长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Jun 05 12:53:51 CST 2019, time=2019-06-05, status=1, ipAttribution=)]
    2019-06-05 1ddf0692m34(暂无匿称)

    学习了，长知识

    0