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 患者做肺部的穿刺检查，病人在CT或者是胸片上发现肺部占位之后，进行一个后续检查。一方面是对这个病灶进行一个组织学，或者是细胞学检查中心型肺癌。通过支气管镜，周围型病灶通过CT引导下肺部穿刺。纵膈淋巴结肿大病人，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。经皮肺穿刺检查，一般适合于肺外周周围型的占位。对于中心型病灶来说，更适合支气管镜检查。 When should the patient have a lung biopsy The patient had a lung biopsy, After the patient found lung space on CT or chest film, Carry out a follow-up inspection. On the one hand, we have a histology of this lesion, Or cytological examination of central lung cancer. Through bronchoscopy, The peripheral lesions were punctured under CT guidance. Mediastinal lymphadenopathy, Through mediastinoscopy, RECIST and other means, Take the tissue for pathological diagnosis. Only the result of pathological diagnosis, It is to confirm the nature of the disease. Percutaneous lung biopsy, Generally, it is suitable for peri pulmonary space occupying. For central lesions, It is more suitable for bronchoscopy.