Скачать с ютуб 患者什么情况下要做肺部的穿刺检查 姚舒洋 首都医科大学宣武医院 в хорошем качестве

患者什么情况下要做肺部的穿刺检查 姚舒洋 首都医科大学宣武医院

患者什么情况下要做肺部的穿刺检查 姚舒洋 首都医科大学宣武医院 患者什么情况下要做肺部的穿刺检查，如果病人在CT或者是胸片上，发现肺部占位之后，我们需要进行一个后续的检查，包括一方面是对这个病灶，进行一个组织学，或者是细胞学的检查，中心型肺癌，通过支气管镜，周围型的病灶，我们会通过CT引导下肺部穿刺，或者说还有，如果纵膈淋巴结肿大的病人，可以通过纵膈镜，RECIST等手段，取到组织进行病理诊断，只有病理诊断的结果，才是证实这个占位，到底是什么性质的疾病，经皮肺穿刺的检查，一般适合于，肺的外周周围型的占位，我们会采用这种方法，在CT的引导下，医生可以把这个粗针，直接到达占位的病灶，然后取出一部分的组织，进行后续的病理的检查，和基因的检测，对于中心型的病灶来说，更适合的是支气管镜的检查，等等 When should the patient have a lung biopsy When should the patient have a lung biopsy, If the patient is on CT or chest film, After finding the lung space, We need to do a follow-up inspection, On the one hand, this lesion, To conduct a histology, Or cytology, Central lung cancer, Through bronchoscopy, Peripheral lesions, We're going to have CT guided lung biopsies, Or else, If the mediastinal lymph nodes are swollen, Through mediastinoscopy, RECIST and other means, Take the tissue for pathological diagnosis, Only the result of pathological diagnosis, That's what confirms this occupancy, What kind of disease is it, Percutaneous lung biopsy, Generally suitable for, The peripheral type of the lung, We'll take this approach, Under the guidance of CT, The doctor can take this thick needle, Directly to the occupied lesions, And then take out a part of the tissue, Follow up pathological examination, And gene testing, For central lesions, It is more suitable for bronchoscopy, Wait