https://radiopaedia.org/articles/chiba-needle

Tus nqi kho mob ntawm covSiv rab koobstretches deb tshaj li kev kuaj mob. Raws li kev kho mob me me hloov zuj zus mus rau hauv kev saib xyuas tseem ceeb, nws lub peev xwm tseem ceeb ntawm kev tsim kom meej, qis- cov kab mob nkag mus tau nthuav dav mus rau hauv cov kua dej, kev tswj xyuas qhov mob, kev cuam tshuam ntxiv thiab lwm yam kev kho mob, ua rau nws muaj ntau yam ntau yam -rounder rau kev kho mob. Daim ntawv no tau piav qhia txog nws cov kev siv tshuaj kho mob thoob plaws peb pawg loj: kev cuam tshuam dej, paj hlwb / ablation, thiab kev nkag mus rau kev sib koom ua ke, qhia txog nws lub luag haujlwm hloov pauv los ntawm cov cuab yeej tshawb nrhiav mus rau lub hauv paus kev nkag mus rau engineering.

1. Kev Kho Dej Dej: Tsim cov kev pab cuam rau lub cev kua dej Stasis

Rau cov kua dej txawv txav hauv lub cev (pas, kua tsib, tso zis, cystic kua), Chiba koob yog thawj -cov cuab yeej xaiv los tsim kom muaj cov kua dej nkag.

• Kev tswj ntawm abscesses thiab cysts: Cov mob xws li kab mob siab, intra-abdominal abscess, lub raum hlwv thiab pancreatic pseudocysts ib txwm xav tau qhib kev phais. Niaj hnub no, nyob rau hauv cov duab taw qhia, Chiba koob precisely punctures abscess los yog cyst kab noj hniav. Cov kua dej aspirated tuaj yeem raug xa mus rau kev kuaj sim kom paub meej tias qhov xwm txheej pathological, thaum lub siab txo qis sai sai txo cov tsos mob. Qhov tseem ceeb tshaj, cov txheej txheem Seldinger classic yog siv: tom qab kev vam meej Chiba koob cannulation, ib tug guidewire yog siab heev, tshaj qhov uas ib tug loj dua catheter yog pauv mus xa sustained, txaus kua kom txog thaum tag nrho cov rov qab. Txoj hauv kev no ua rau muaj kev raug mob tsawg kawg nkaus thiab zam kev phais loj, ua pov thawj tshwj xeeb tshaj yog tsim nyog rau cov neeg mob hnyav thiab tsis muaj zog.
• Biliary thiab lub raum pelvic decompression:
• Malignant obstructive jaundice: Rau jaundice los ntawm compression los ntawm kev mob siab heev, percutaneous transhepatic biliary drainage (PTCD) yog thawj palliative kev cuam tshuam. Lub koob Chiba yog cov cuab yeej tshwj xeeb rau thawj kauj ruam tseem ceeb ntawm PTCD-puncturing dilated intrahepatic bile ducts. Kev ua tiav ntawm cov kua tsib sai rov ua kom lub siab ua haujlwm thiab txo qhov mob pruritus, tso cov hauv paus rau kev kho mob tom ntej xws li stent implantation thiab txhim kho cov neeg mob lub neej zoo.

Urinary tract obstruction: Upper urinary tract blockage stemming from qog, calculi or retroperitoneal fibrosis can be addressed by percutaneous renal pelvic puncture to create a nephrostomy drainage tract and khaws cia lub raum ua haujlwm. Lub Chiba koob kuj tseem ua qhov tseem ceeb thawj zaug puncture kauj ruam.

2. Kev Tswj Kev Mob thiab Kev Kho Mob Ntsig: Precision Targeted Drug Delivery

Kev taw qhia los ntawm - lub sijhawm ntsuas tiag tiag, Chiba rab koob ua haujlwm raws li ultra- txhaj tshuaj cannula kom ncav cuag lub paj hlwb ntawm qhov mob tshwm sim.

• Nerve block thiab tshuaj lom neeg neurolysis: Rau qhov kawg tsis txaus ntseeg- mob qog noj ntshav theem (xws li, tsis xis nyob los ntawm kab mob pancreatic lossis hepatic carcinoma), CT qhia txoj haujlwm ntawm Chiba koob taub uas nyob ib sab ntawm cov hlab ntsha plexuses kho qhov mob sib kis (xws li celiac plexus). Tsis muaj ethanol lossis phenol yog txhaj tshuaj los tua cov tshuaj neurolysis, xa mus ntev -ntev, muaj zog analgesia. Tib cov txheej txheem siv rau cov mob ntev xws li trigeminal neuralgia thiab posterior spinal ramus syndrome.
• Discography thiab intervertebral disc intervention: Rau qhov xav tias mob discogenic, Chiba koob punctures cuam tshuam intervertebral disc. Qhov sib txawv nruab nrab txhaj tshuaj provokes cov tsos mob ntawm tus mob kom paub meej tias kev kuaj mob (discography), thaum txhaj tshuaj xws li ozone lossis collagenase yuav raug muab coj los ua ke rau kev kho mob tsawg kawg nkaus.
• Intra-kev txhaj tshuaj: Raws li kev taw qhia fluoroscopic lossis ultrasound, cov pob qij txha sib sib zog nqus nrog rau lub duav thiab sacroiliac sib koom ua ke tuaj yeem raug kho kom raug rau cov tshuaj txhaj tshuaj los kho mob caj dab thiab mob articular.

3. Pioneer Access for Combined Complex Procedures: Paving the Way for High-Thov kom Advanced Therapies

Hauv ntau qhov kev cuam tshuam ntawm vascular thiab oncological kev ua haujlwm, Chiba koob ua raws li tus trailblazer los tsim thawj cov ntaub ntawv nkag.

• Transjugular Intrahepatic Portosystemic Shunt (TIPS): Muab suav hais tias yog kub - txheej txheem txheej txheem nyuaj rau cov teeb meem ntawm kev kub siab portal. Nws cov txheej txheem tseem ceeb tshaj plaws uas xav tau cov kauj ruam tseem ceeb suav nrog kev txiav cov ceg ntoo ntawm cov hlab ntsha los ntawm cov hlab ntsha siab los ua ib qho kev sib tw. Cov kauj ruam no vam khom rau cov khoom siv tshwj xeeb TIPS puncture nyob rau hauv ib qho kev sib tw, tswj tau trocar tsim los ntawm Chiba koob tsim qauv, ua kom tiav cov kab mob intrahepatic vascular bypass nyob rau hauv fluoroscopic pom.
• Localization thiab adjuvant kev them nyiaj yug rau qog ablation: Ua ntej radiofrequency, microwave los yog cryoablation, ib rab koob Chiba yog qee zaum muab tso rau ntawm cov qog nqaij hlav ua ib qho chaw cim, ua kom muaj tseeb kev npaj ntawm ablation electrode txoj hauj lwm thiab angulation ntawm CT imaging. Rau xaiv qhov chaw anatomical, Chiba koob nws tus kheej ua haujlwm raws li kev xa khoom rau cov tshuaj ablation tshuaj xws li ethanol kiag li.
• Txoj kev tsim rau osteoplasty: Vertebroplasty thiab cement augmentation rau cov pob txha hlav yuav tsum muaj txoj hauv kev ruaj khov uas txuas ntawm daim tawv nqaij mus rau cov pob txha lesioned. Pob txha biopsy trocars feem ntau siv ntawm no, uas nws thawj zaug puncture logic qhia tib lub hauv paus tsim lub tswv yim zoo li Chiba koob.

Xaus

Los ntawm kev tso cov kua dej pathological thiab cuam tshuam qhov mob qhia txog kev nkag mus rau kev nkag mus rau cov kev cuam tshuam siab siab - kawg, kev nthuav dav kho ntawm rab koob Chiba tag nrho embodies interventional tshuaj lub ntsiab lus tseem ceeb: daws cov kev kho mob nyuaj nrog cov ntaub so ntswg tsawg. Nws tau hloov zuj zus los ntawm ib qho yooj yim cov ntaub so ntswg sampling cannula mus rau ntau yam, siv los kho platform. Kev paub txog nws txoj kev tswj hwm thoob plaws cov xwm txheej kho mob no zoo heev nthuav dav cov kws kho mob cov kev kho mob arsenal, muab cov neeg mob nrog ntau hom kev sib txawv, kev xaiv kev saib xyuas tsawg tsawg. Kev txawj ntse nrog rab koob Chiba yog qhov kev txawj ntse tseem ceeb rau txhua tus kws kho hluav taws xob cuam tshuam.