Tag Nrho -Scenario Clinical Application Thiab Diagnostic Value Of Puncture Needles

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Punco koobs yog qhov tseem ceeb ntawm cov cuab yeej precision hauv cov tshuaj kho mob niaj hnub no, npog tag nrho cov kev kuaj mob / kev kho mob nrog rau kev kuaj kab mob / kev kuaj mob, kev xa tshuaj tsom, kev kho mob me me, thiab kev tshawb fawb piv txwv. Lawv yog cov cuab yeej tseem ceeb hauv cov xwm txheej xws li kuaj qog nqaij hlav, kuaj tshuaj sab hauv / kho, cov txheej txheem phais me me, thiab txhaj tshuaj tiv thaiv. Nrog rau lawv cov yam ntxwv ntawm kev ua kom tsawg tsawg, meej, thiab muaj kev nyab xeeb, cov koob txhaj tshuaj tau maj mam hloov cov tshuaj tiv thaiv kab mob / kev kho mob, dhau los ua cov cuab yeej tseem ceeb rau kev ua haujlwm hauv cov tsev kho mob hauv txhua qib, txhawb kev txhim kho thiab cov qauv kev kho mob.

Hauv kev kuaj kab mob kuaj kab mob, cov koob txhaj tshuaj ua haujlwm tseem ceeb rau kev kuaj mob pathological. Clinically, kuaj qog nqaij hlav, kuaj pom cov kab mob hauv nruab nrog cev, thiab kev txheeb xyuas cov kua dej hauv lub cev pathological tag nrho yog nyob ntawm cov txheej txheem puncture. Cov cuab yeej tshwj xeeb xws li EBUS-TBNA puncture koob thiab cov ntaub so ntswg mos cov koob txhaj tshuaj tuaj yeem ua rau cov kab mob hauv lub cev zoo li cov thyroid, mis, ntsws, siab, thiab ob lub raum kom tshem tawm cov ntaub so ntswg thiab cov kua dej hauv lub cev. Piv nrog rau cov qauv qhib ib txwm muaj, qhov ntsuas qhov ntsuas ua rau muaj kev raug mob tsawg, muaj kev ua haujlwm siab, thiab ua rau cov qauv zoo heev. Nws tuaj yeem muab lub hauv paus zoo rau kev paub qhov txawv ntawm cov qog nqaij hlav malignant, ntaus cov kab mob ntev pathologies, thiab cov kab mob staging, ua qhov txuas tseem ceeb hauv kev kuaj mob qog noj ntshav thaum ntxov thiab kev kuaj mob / kho cov kab mob ntev. Tam sim no, ntau dua 60% ntawm cov kev kuaj mob me me uas tsis tshua muaj tshwm sim yog siv cov koob txhaj tshuaj, ua rau lawv muaj kev txhawb nqa tseem ceeb rau kev kuaj mob ntxov thiab kho cov kab mob.

Hauv kev xa tshuaj thiab kev kho mob hauv tsev kho mob, cov koob txhaj tshuaj pab kom tsis txhob mob thiab tsom mus rau kev tswj hwm. Tsoos tshuaj intramuscular thiab intravenous txhaj ua rau muaj zog mob, thiab diffusion ntau yam ntawm cov tshuaj yog uncontrolled. Hauv qhov sib piv, micro puncture koob tuaj yeem ua tiav cov tshuaj tsis muaj mob, tsis txhob hnov ​​​​qab txog qhov tsis xis nyob thiab tsis xis nyob ntawm cov tshuaj txhaj tshuaj. Hauv kev tswj qhov mob, kev kho mob hauv zos, thiab cov phiaj xwm cuam tshuam rau cov kab mob ntev, cov koob txhaj tshuaj tuaj yeem xa cov tshuaj ncaj qha mus rau qhov tob ntawm qhov txhab, ua kom cov tshuaj hauv zos nce ntxiv, txhim kho cov txiaj ntsig kho mob, thaum txo cov kev mob tshwm sim los ntawm kev siv tshuaj. Lawv qhov kev nyab xeeb thiab kev hloov pauv tau zoo yog qhov tshwj xeeb hauv cov xwm txheej xws li txhaj tshuaj tiv thaiv thiab kev kho lub cev, ua kom tau raws li kev kuaj mob / kev kho mob ntawm ntau tus neeg suav nrog cov neeg laus thiab menyuam yaus.

Daim ntawv thov ntawm cov koob txhaj tshuaj txuas ntxiv nthuav dav hauv thaj chaw ntawm kev cuam tshuam kev cuam tshuam tsawg kawg nkaus. Hauv cov chaw haujlwm xws li urology, gynecology, orthopedics, thiab oncology, puncture koob, ua haujlwm nrog cov khoom siv cuam tshuam tsawg kawg nkaus, tuaj yeem ua haujlwm tsawg kawg nkaus xws li puncture drainage, effusion cleaning, local ablation, thiab brachytherapy. Piv txwv li, prostate brachytherapy puncture koob thiab radiofrequency puncture koob tuaj yeem ua tiav qhov kev kho mob hauv zos ntawm cov qog tsis tas yuav tsum muaj kev phais tshem tawm ntawm qhov txhab, zoo heev txo cov kev pheej hmoo ntawm kev phais thiab cov teeb meem tom qab phais, thiab tshwj xeeb tshaj yog rau cov neeg laus, cov neeg mob qaug zog uas tsis tuaj yeem zam kev phais loj.

Nyob rau tib lub sijhawm, cov koob txhaj tshuaj tau siv dav hauv kev tshawb fawb txog kev kho mob thiab kev sim tsiaj, muab cov ntaub ntawv qhia meej thiab cov kev pabcuam muab rho tawm rau cov qauv tshuaj lom neeg thiab cov qauv kev sim, pab txhim kho cov tshuaj tshiab, kev tshawb fawb txog cov txheej txheem pathological, thiab kev sim tshuaj kho mob. Tsis tas li ntawd, nyob rau hauv kev ua liaj ua teb cov tshuaj, cov koob txhaj tshuaj uas tau txais kev pom zoo tau maj mam dhau los ua neeg nyiam, ua qauv kuaj tsiaj tus kab mob, kev tswj hwm tshuaj, thiab kev kho mob tsawg kawg nkaus.

Raws li cov cuab yeej tseem ceeb rau kev kuaj mob tsawg kawg nkaus kev kuaj mob / kev kho mob, puncture koob khiav los ntawm tag nrho cov kab mob ntawm kev kuaj mob, kev kho mob, thiab kev tshawb fawb, daws cov teeb meem mob ntawm kev kuaj mob / kev kho mob xws li mob loj, tsis tshua muaj siab, thiab rov qab qeeb. Raws li kev kuaj mob / cov qauv kev kho mob txuas ntxiv mus, ntau yam ntawm cov koob txhaj tshuaj subcategories txuas ntxiv txhim kho, yoog mus rau cov kab mob nyuaj me me uas cuam tshuam txog kev kuaj mob / kev kho mob, txuas ntxiv txhim kho kev kho mob kom zoo thiab cov neeg mob kev nyab xeeb kev nyab xeeb.