FIBRIN GLUE FOR SEALING THE NEEDLE TRACK IN FINE-NEEDLE PERCUTANEOUS LUNG-BIOPSY USING A COAXIAL SYSTEM .2. CLINICAL-STUDY

被引：46

作者：

PETSAS, T

SIAMBLIS, D

GIANNAKENAS, C

TEPETES, K

DOUGENIS, D

SPIROPOULOS, K

FEZOULIDIS, I

DIMOPOULOS, I

机构：

[1] Department of Radiology, Regional University Hospital of Patras, Rion

[2] Department of Surgery, Cardiothoracic Unit, Regional University Hospital of Patras, Rion

[3] Department of Internal Medicine, Pulmonary Unit, Regional University Hospital of Patras, Rion

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1995年 / 18卷 / 06期

关键词：

PERCUTANEOUS LUNG BIOPSY; FIBRIN GLUE; CHRONIC OBSTRUCTIVE PULMONARY DISEASE;

D O I：

10.1007/BF00338305

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose: Following percutaneous lung biopsy (PLB), we used fibrin glue as a sealant in 26 patients for the purpose of decreasing the incidence of pneumothorax. Methods: All 26 patients (group A) had chronic obstructive pulmonary disease (COPD). The results for group A were compared with a control group of 32 patients (group B), also with COPD and in whom fibrin glue was not used, All biopsies were conducted under computed tomography (CT) using a coaxial needle system consisting of 19-gauge and 22-gauge needles. Results: Pneumothorax developed in five patients (19.2%) in group A and in one instance, drainage was required (3.8%). In group B, pneumothorax developed in 13 patients (40.6%) and in six instances (18.8%) drainage was required. Comparing the use of chest-tube drainage in the two groups, a statistical significance was observed, p < 0.025. No adverse reactions related to the fibrin glue were observed. Conclusion. Our results indicate that fibrin glue is a safe sealing material for lung PLB and serves to decrease the incidence and, in particular, the severity of pneumothorax, especially in high-risk patients.

引用

页码：378 / 382

页数：5

共 16 条

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