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Abstract：
This study aims to evaluate the role of TUSG in the postoperative period and the detection of early complications after surgical treatment, pulmonary resection, or decortication for infectious and inflammatory thoracic diseases, comparing with the standard method (Chest Radiography ‒ CXR).
Prospective non-randomized self-controlled study. Twenty-one patients over 16 years of age have undergone surgical treatment of inflammatory and infectious lung diseases. These patients were followed up with CXR and TUSG (performed on the 1st and 3rd postoperative days and/or after the chest tube removal).
Both exams demonstrated similar results regarding their ability to safely predict the adequate moment for chest drain removal. TUSG allowed chest drain removal in 30% of cases and CXR in 34%. Statistical analysis demonstrates that both exams have similar capabilities in detecting postoperative changes in the pleural space. However, the authors report that TUSG is statistically more accurate in detecting subcutaneous emphysema than CXR (p = 0.037, Kappa [κ = 0.3068]). The analysis of other parameters showed no statistical difference.
The authors conclude that TUSG in trained hands is equivalent to CXR in searching for postoperative complications regarding the surgical treatment of infectious and inflammatory thoracic diseases and can be used as a complement, and not a substitute, to CXR, when CCT is not feasible, or a more urgent diagnosis is needed.
Prospective non-randomized self-controlled study. Twenty-one patients over 16 years of age have undergone surgical treatment of inflammatory and infectious lung diseases. These patients were followed up with CXR and TUSG (performed on the 1st and 3rd postoperative days and/or after the chest tube removal).
Both exams demonstrated similar results regarding their ability to safely predict the adequate moment for chest drain removal. TUSG allowed chest drain removal in 30% of cases and CXR in 34%. Statistical analysis demonstrates that both exams have similar capabilities in detecting postoperative changes in the pleural space. However, the authors report that TUSG is statistically more accurate in detecting subcutaneous emphysema than CXR (p = 0.037, Kappa [κ = 0.3068]). The analysis of other parameters showed no statistical difference.
The authors conclude that TUSG in trained hands is equivalent to CXR in searching for postoperative complications regarding the surgical treatment of infectious and inflammatory thoracic diseases and can be used as a complement, and not a substitute, to CXR, when CCT is not feasible, or a more urgent diagnosis is needed.
摘要：
本研究旨在评估TUSG在术后阶段的作用以及手术治疗后早期并发症的检测。肺切除术,或对感染性和炎症性胸部疾病进行剥皮术，与标准方法(胸部X线照相术-CXR)进行比较。
前瞻性非随机自我对照研究。21名16岁以上的患者接受了炎症性和感染性肺部疾病的手术治疗。对这些患者进行CXR和TUSG随访（在术后第1天和第3天和/或胸管拔除后进行）。
两项检查都显示出相似的结果，即它们能够安全地预测胸部引流管移除的适当时机。TUSG允许在30％的病例中去除胸腔引流，在34％的病例中去除CXR。统计分析表明，两种检查在检测胸膜腔的术后变化方面具有相似的能力。然而,作者报告TUSG在检测皮下气肿方面比CXR更准确(p=0.037,Kappa[κ=0.3068]).其他参数剖析显示无统计学差别。
作者得出结论，经过训练的TUSG在寻找感染性和炎症性胸部疾病的手术治疗的术后并发症方面相当于CXR，可以作为一种补充，而不是替代品，到CXR，当CCT不可行时，或者需要更紧急的诊断。
前瞻性非随机自我对照研究。21名16岁以上的患者接受了炎症性和感染性肺部疾病的手术治疗。对这些患者进行CXR和TUSG随访（在术后第1天和第3天和/或胸管拔除后进行）。
两项检查都显示出相似的结果，即它们能够安全地预测胸部引流管移除的适当时机。TUSG允许在30％的病例中去除胸腔引流，在34％的病例中去除CXR。统计分析表明，两种检查在检测胸膜腔的术后变化方面具有相似的能力。然而,作者报告TUSG在检测皮下气肿方面比CXR更准确(p=0.037,Kappa[κ=0.3068]).其他参数剖析显示无统计学差别。
作者得出结论，经过训练的TUSG在寻找感染性和炎症性胸部疾病的手术治疗的术后并发症方面相当于CXR，可以作为一种补充，而不是替代品，到CXR，当CCT不可行时，或者需要更紧急的诊断。
