内科超声引导局灶性损伤活检的成本效益

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista clinica espanola Pub Date : 2025-05-01 DOI:10.1016/j.rce.2025.502285

L. Porcel , S. Alas , S. Bielsa , J.M. Porcel

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引用次数: 0

摘要

超声引导活检（UGB）是一种通常由放射科医生执行的诊断程序；然而，内科医生对其使用的研究却很少。本研究评估了UGB对内科高度怀疑恶性肿瘤的局灶性病变的诊断率、准确性和安全性。方法回顾性分析2021 - 2024年间248例患者的255例UGB。进行实体器官活检以评估诊断率、并发症和与成功相关的因素。结果总诊断率为84%，其中恶性肿瘤的准确率为83%，良性肿瘤的准确率为89%。活检主要包括肝、肺和淋巴结标本。主要并发症很少发生（3%）。样本量和经验积累等因素改善了结果。结论内科医师对怀疑为恶性灶性病变的局灶性病变行subb检查安全有效。它的实施可以缩短诊断时间并改善患者护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Rentabilidad de las biopsias de lesiones focales guiadas por ecografía en un servicio de medicina interna

Background

Ultrasound-guided biopsy (UGB) is a diagnostic procedure that is usually performed by radiologists; however, its use by internists has been poorly studied. This study evaluated the diagnostic yield, accuracy, and safety of UGB for focal lesions with a high suspicion of malignancy in an internal medicine department.

Method

We retrospectively analyzed 255 UGB in 248 patients between 2021 and 2024. Solid organ biopsies were performed to evaluate diagnostic yield, complications, and factors associated with success.

Results

The overall diagnostic yield was 84% with an accuracy of 83% for malignancy and 89% for benignity. The biopsies predominantly comprised of hepatic, pulmonary, and lymph node specimens. Major complications occurred infrequently (3%). Factors such as sample size and accumulated experience improved the results.

Conclusions

UGBs performed by internists for focal lesions suspected of malignancy are safe and effective. Its implementation can reduce diagnostic time and improve patient care.

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来源期刊

Revista clinica espanola 医学-医学：内科

CiteScore

4.40

自引率

6.90%

发文量

审稿时长

28 days

期刊介绍： Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.