Thoob plaws hauv evolution ntawm hepatology, daim siab biopsy tau ua haujlwm ntev li tuskub standardrau kev kuaj pom tseeb, kev ntsuas qhov hnyav ntawm fibrosis, thiab kev ntsuam xyuas ntawm kev kho mob zoo. Ntawm ntau yam khoom siv biopsy, Menghini daim siab biopsy koob, tsim nyob rau hauv 1958 los ntawm Italian tus kws kho mob Giorgio Menghini, tseem yog cov khoom siv thawj zaug rau ntau lub tsev kho mob qib siab thiab cov chaw kho mob tshwj xeeb tom qab ntau tshaj rau xyoo lawm, ua tsaug rau nws cov qauv tsim thiab kev kho mob zoo heev. Raws li ib tug kws kho mob nrog ntau xyoo ntawm kev paub nyob rau hauv daim siab pathology, kuv nkag siab tag nrho hais tias xaiv ib tug txhim khu kev qha chaw tsim tshuaj paus ntawm Menghini daim siab biopsy koob ncaj qha cuam tshuam qhov tseeb ntawm kev kuaj mob thiab kev nyab xeeb ntawm tus neeg mob.

Tracing lub Classic: Vim li cas Menghini Design tseem nyob twj ywm unobsolete?

Txij li thaum percutaneous daim siab biopsy tau pioneered los ntawm Roholm thiab Iversen nyob rau hauv 1939, cov txheej txheem tau undergone nruam evolution. Txawm li cas los xij, qhov kev taw qhia ntawm rab koob Menghini tau cim ib qho kev nthuav dav. Nws lub ntsiab innovation yog nyob rau hauv ingenious daim ntawv thov ntawm tsis zoo-siab aspiration. Thaum lub koob txhaj tshuaj meej meej mus txog qhov chaw ntawm daim siab capsule, tus neeg teb xov tooj siv lub siab tsis zoo ntawm lub koob txhaj tshuaj, rub daim siab cov ntaub so ntswg sai sai rau hauv rab koob, uas yog tom qab ntawd ntxuav kom huv si los ntawm qhov ntse beveled ntug.

Nws qhov zoo tshaj plaws yogib qho kev ntxig nrog nruam sampling. Piv nrog rau cov koob txiav-hom biopsy uas yuav tsum tau rov ua dua hauv-thiab-tawm, koob Menghini ua rau lub sijhawm ua haujlwm luv luv thiab txo qhov kev pheej hmoo ntawm kev raug mob los ntawm kev ua pa tsis zoo hauv cov neeg mob.

Precise Differentiation: Microscopic Identification from Fatty Liver to Malignant Tumors

Lub siab yog ib qho "tseem ceeb" hauv nruab nrog cev, nrog ntau qhov txhab uas tsis muaj cov duab pom tseeb hauv lawv cov theem pib. Piv txwv li, thaum ntxov-theem tsis-alcoholic fatty siab kab mob (NAFLD) tsuas yog tshwm sim raws li cov roj vacuoles nyob rau hauv hepatocytes, thaum lub sij hawm lub siab cirrhosis yog yus muaj los ntawm fibrous septum tsim. Cov kev hloov pauv hloov maj mam no tsuas tuaj yeem lees paub los ntawm cov ntaub so ntswg zoo.

High-quality Menghini daim siab biopsy koob manufacturers ua tiav cov kua dej-dynamics-raws li kev sib piv ntawm rab koob hauv kab thiab qhov tsis zoo-siab txaus. Qhov no ua kom lub siab cov ntaub so ntswg cores tsis yog ntev txaus (feem ntau 1.5-2 cm) tab sis kuj tseem muaj cov cellular morphology tsis muaj compression lossis deformation. Qhov no yog ib qho tseem ceeb rau cov kws kho mob kom paub qhov txawv ntawm lub siab mob qog noj ntshav, cov qog nqaij hlav metastatic thib ob, thiab kev nkag siab ntawm lub siab los ntawm leukemia lossis lymphoma.

Txhim kho tus neeg mob kev nplij siab thiab kev nyab xeeb: Kev xyaum ntawm lub tswv yim tsawg tsawg

Thaum lub siab biopsy tau hais, ntau tus neeg mob koom nrog qhov mob uas tsis tuaj yeem thiab muaj kev pheej hmoo ntawm cov ntshav siab. Nyob rau hauv qhov tseeb, ib tug zoo-engineered koob Menghini tuaj yeem txo qhov kev pheej hmoo tsawg kawg nkaus. Featuring ib txoj kab uas hla ultra-nplua (piv txwv li, 18G lossis 20G) thiab luv luv, meej puncture txoj kev, nws ua rau pom qhov tsis xis nyob nyob rau hauv lub zos tshuaj loog, tiag tiag paub cov ntsiab lus ntawm qhov mob tsis muaj kev cuam tshuam thiab kev kuaj mob me me.

Lub caij no, kev raug mob tsawg kawg nkaus txo qis qhov tshwm sim ntawm cov teeb meem tom qab ua haujlwm xws li biliary peritonitis thiab intrahepatic haematoma. Cov neeg mob feem ntau tuaj yeem tawm ntawm txaj tsis pub dhau ob peb teev tom qab tus txheej txheem, ua kom rov zoo sai.

Hauv cov ntsiab lus, Menghini daim siab biopsy koob yog los ntawm tsis txhais tau tias yog ib qho khoom qub qub, tab sis cov cuab yeej kho kom zoo-kho tshuaj forged los ntawm ntau xyoo ntawm kev kuaj mob validation. Siv cov txheej txheem yooj yim tshaj plaws, nws daws cov teeb meem nyuaj tshaj plaws hauv kev kuaj mob ntawm daim siab, ua rau nws yog tus khub ntseeg siab tshaj plaws rau cov kws kho mob tshawb xyuas lub ntiaj teb microscopic ntawm daim siab.