新型肺隔离穿刺消融术应用  

A new diagnosis and ablation technique of lung isolated percutaneous transthoracic needle biopsy

作　　者：刘丹[1] 万南生[1] 王杰[1] 李广生 谢巍[1] 田羽 冯靖[1] LIU Dan;WAN Nansheng;WANG Jie;LI Guangsheng;XIE Wei;TIAN Yu;FENG Jing(Department of Respiratory and Critical Care Medicine,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院呼吸与危重症医学科,300052

出　　处：《天津医药》2024年第9期982-984,共3页Tianjin Medical Journal

基　　金：国家重点研发计划(2023YFC2507100);十三五国家科技部支撑计划课题(2015BAI12B11);天津市“131”创新型人才团队建设项目(201940)。

摘　　要：病理穿刺活检是胸部肿瘤早期诊断和治疗的关键,经皮穿刺活检(PTNB)技术已在临床广泛应用。PTNB常见并发症包括气胸、空气栓塞、出血等。为优化传统PTNB,开发了一种新型肺部病灶经皮穿刺诊断与消融技术,显著降低了并发症的发生,增加了病理穿刺活检的准确性,同时可桥接靶病灶消融。该文详细介绍了全麻肌松硬镜低压常频开放通气条件下填塞辅助的肺部病灶经皮穿刺诊断与消融技术的优势及操作流程。Pathological puncture biopsy is the key to early diagnosis and treatment of thoracic tumours,and percutaneous puncture biopsy(PTNB)technology has been widely used in clinical practice.Common complications of PTNB include pneumothorax,air embolism and pulmonary hemorrhage.In order to optimize traditional PTNB,our center has developed a new percutaneous puncture diagnosis and ablation technology for lung lesions,which greatly reduces the occurrence of complications,increases the accuracy of pathological biopsy.At the same time,it can bridge target lesion ablation.This article describes the standard operating procedure for diagnosis and ablation techniques of filling operation assisted percutaneous transthoracic needle biopsy under rigid endoscopy with regular frequency controlled ventilation during general anesthesia.

关 键 词：活组织检查 针吸 麻醉 全身 内填塞 肌松弛 消融技术 

分 类 号：R443[医药卫生—诊断学] R734.2[医药卫生—临床医学]