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
来源：
TOMOGRAPHY | 2022年 / 8卷 / 04期
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
相关论文
共 29 条
  • [1] Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis
    Alrajab, Saadah
    Youssef, Asser M.
    Akkus, Nuri I.
    Caldito, Gloria
    [J]. CRITICAL CARE, 2013, 17 (05):
  • [2] Repeated Monitoring With Transthoracic Echocardiography and Lung Ultrasound After Cardiac Surgery: Feasibility and Impact on Diagnosis
    Alsaddique, Ahmed
    Royse, Alistair G.
    Royse, Colin F.
    Mobeirek, Abdulelah
    El Shaer, Fayez
    AlBackr, Hanan
    Fouda, Mohammed
    Canty, David J.
    [J]. JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2016, 30 (02) : 406 - 412
  • [3] Management of spontaneous pneumothorax - An American College of Chest Physicians Delphi Consensus Statement
    Baumann, MH
    Strange, C
    Heffner, JE
    Light, R
    Kirby, TJ
    Klein, J
    Luketich, JD
    Panacek, EA
    Sahn, SA
    [J]. CHEST, 2001, 119 (02) : 590 - 602
  • [4] Editorial of current practise in the use of chest ultrasound in thoracic surgery
    Bhakhri, Kunal
    Coonar, Aman
    [J]. JOURNAL OF THORACIC DISEASE, 2019, 11 (12) : 5706 - 5707
  • [5] A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax
    Blaivas, M
    Lyon, M
    Duggal, S
    [J]. ACADEMIC EMERGENCY MEDICINE, 2005, 12 (09) : 844 - 849
  • [6] Canty D, 2017, J CARDIOTHOR VASC AN, V31, pS44
  • [7] POSTOPERATIVE CHEST ULTRASOUND FINDINGS AND EFFECTIVENESS AFTER THORACIC SURGERY: A PILOT STUDY
    Chiappetta, Marco
    Meacci, Elisa
    Cesario, Alfredo
    Smargiassi, Andrea
    Inchingolo, Riccardo
    Ciavarella, Leonardo Petracca
    Lopatriello, Stefania
    Contegiacomo, Andrea
    Congedo, Maria Teresa
    Margaritora, Stefano
    [J]. ULTRASOUND IN MEDICINE AND BIOLOGY, 2018, 44 (09) : 1960 - 1967
  • [8] Lung ultrasound could reduce X-ray after major lung resection
    Dzian, A.
    Malik, M.
    Hamada, L.
    Skalicanova, M.
    Zelenak, K.
    Stevik, M.
    Grendar, M.
    [J]. BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY, 2021, 122 (12): : 871 - 875
  • [9] Most patient conditions do not a priori debilitate the sensitivity of thoracic ultrasound in thoracic surgery-a prospective comparative study
    Galetin, Thomas
    Merres, Julika
    Schieren, Mark
    Marks, Benjamin
    Haffke, Yves
    Defosse, Jerome
    Wappler, Frank
    Koryllos, Aris
    Stoelben, Erich
    [J]. JOURNAL OF CARDIOTHORACIC SURGERY, 2021, 16 (01)
  • [10] Sensitivity of lung ultrasound for the detection of pneumothorax one day after pulmonary resection-a prospective observational study
    Galetin, Thomas
    Schieren, Mark
    Marks, Benjamin
    Defosse, Jerome
    Stoelben, Erich
    [J]. EUROPEAN SURGERY-ACTA CHIRURGICA AUSTRIACA, 2021, 53 (01): : 23 - 28
123