Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?

被引:3
|
作者
Grapatsas, Konstantinos [1 ]
Leivaditis, Vasileios [2 ]
Ehle, Benjamin [3 ]
Papaporfyriou, Anastasia [4 ]
机构
[1] Klinikum Bielefeld, Dept Thorac Surg, D-33647 Bielefeld, Germany
[2] Westpfalz Klinikum, Dept Cardiothorac & Vasc Surg, D-67655 Kaiserslautern, Germany
[3] Univ Freiburg, Fac Med, Dept Thorac Surg, Med Ctr, D-79098 Freiburg, Germany
[4] Med Univ Vienna, Dept Internal Med 2, Div Pulmonol, A-1090 Vienna, Austria
关键词
chest XR; chest ultrasound; postoperative complications; LUNG ULTRASOUND; SPONTANEOUS PNEUMOTHORAX; BEDSIDE ULTRASOUND; POSTOPERATIVE CARE; CARDIAC-SURGERY; SENSITIVITY; RADIOGRAPHS; SONOGRAPHY; MANAGEMENT; DIAGNOSIS;
D O I
10.3390/tomography8040175
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Background: There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. Methods: An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. Results: Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. Conclusions: The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory.
引用
收藏
页码:2083 / 2092
页数:10
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