PDF(Pubmed)
Abstract：
OBJECTIVE: To assess the effectiveness of autologous blood patch intraparenchymal injection during CT-guided lung biopsies with a focus on the incidence of pneumothorax and the subsequent requirement for chest tube placement.
METHODS: A comprehensive search of major databases was conducted to identify studies that utilized autologous blood patches to mitigate the risk of pneumothorax following lung biopsies. Efficacy was next assessed through a meta-analysis using a random-effects model.
RESULTS: Of the 122 carefully analyzed studies, nine, representing a patient population of 4116, were incorporated into the final analysis. Conclusion deduced showed a noteworthy reduction in the overall incidence of pneumothorax (RR = 0.65; 95% CI 0.53-0.80; P = 0.00) and a significantly decline in the occasion for chest tube placement due to pneumothorax (RR = 0.45; 95% CI 0.32-0.64; P = 0.00).
CONCLUSIONS: Utilizing autologous blood patch intraparenchymal injection during the coaxial needle retraction process post-lung biopsy is highly effective in diminishing both the incidence of pneumothorax and consequent chest tube placement requirement.
METHODS: A comprehensive search of major databases was conducted to identify studies that utilized autologous blood patches to mitigate the risk of pneumothorax following lung biopsies. Efficacy was next assessed through a meta-analysis using a random-effects model.
RESULTS: Of the 122 carefully analyzed studies, nine, representing a patient population of 4116, were incorporated into the final analysis. Conclusion deduced showed a noteworthy reduction in the overall incidence of pneumothorax (RR = 0.65; 95% CI 0.53-0.80; P = 0.00) and a significantly decline in the occasion for chest tube placement due to pneumothorax (RR = 0.45; 95% CI 0.32-0.64; P = 0.00).
CONCLUSIONS: Utilizing autologous blood patch intraparenchymal injection during the coaxial needle retraction process post-lung biopsy is highly effective in diminishing both the incidence of pneumothorax and consequent chest tube placement requirement.
摘要：
目的：评估在CT引导的肺活检中自体血补片脑实质内注射的有效性，重点关注气胸的发生率和随后的胸管放置要求。
方法：对主要数据库进行了全面搜索，以确定利用自体血补片减轻肺活检后气胸风险的研究。接下来使用随机效应模型通过荟萃分析评估疗效。
结果：在122项仔细分析的研究中，九,代表4116名患者,纳入最终分析.推断的结论显示，气胸的总体发生率显着降低（RR=0.65；95％CI0.53-0.80；P=0.00），并且由于气胸而放置胸管的机会显着下降（RR=0.45；95％CI0.32-0.64；P=0.00）。
结论：在肺活检后同轴针回缩过程中使用自体血补片实质内注射在减少气胸的发生率和随之而来的胸管放置需求方面非常有效。
方法：对主要数据库进行了全面搜索，以确定利用自体血补片减轻肺活检后气胸风险的研究。接下来使用随机效应模型通过荟萃分析评估疗效。
结果：在122项仔细分析的研究中，九,代表4116名患者,纳入最终分析.推断的结论显示，气胸的总体发生率显着降低（RR=0.65；95％CI0.53-0.80；P=0.00），并且由于气胸而放置胸管的机会显着下降（RR=0.45；95％CI0.32-0.64；P=0.00）。
结论：在肺活检后同轴针回缩过程中使用自体血补片实质内注射在减少气胸的发生率和随之而来的胸管放置需求方面非常有效。
