EBUS-TBNA Koob Nqe & Tus Nqi Kho Mob|Yuav ua li cas zoo cuam tshuam Biopsy raug

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Hauv kev kuaj mob pulmonary interventional diagnosis, tus qauv ntsuas tseem ceeb ntawmEBUS-TBNA koobtsis yog tus nqi, tab sis kev siv tshuaj kho mob tus nqi thiab kev kuaj pom tseeb. Txawm li cas los xij, ntau lub tsev kho mob dig muag nrhiav tus nqi qis thiab xaiv qis qis qis dua -tus nqi EBUS-TBNA koob, uas ua rau txo qis kev kuaj ntshav kom raug, rov ua haujlwm phais dua, ncua kev kuaj tus neeg mob, thiab nce nqi kho mob. Tus nqi ntawm EBUS-TBNA koob muaj qhov cuam tshuam zoo nrog cov nqi kho mob thiab kev kuaj mob ruaj khov. High-zoo zoo- cov khoom muaj nqi tuaj yeem txhim kho kev kuaj mob kom zoo, txo kev pheej hmoo ntawm kev phais, thiab txuag nqi kho mob tag nrho. Kab lus no txheeb xyuas qhov kev sib txuas sab hauv ntawm EBUS-TBNA koob tus nqi, cov khoom lag luam zoo, thiab tus nqi kho mob, pab cov chaw kho mob thiab pab pawg muag khoom sib npaug ntawm tus nqi thiab kev kuaj mob.

Siab - zoo EBUS-TBNA koob nrog tus nqi tsim nyog ua kom muaj kev ruaj ntseg ultrasound pom thiab txhim kho qhov chaw ntawm qhov raug, uas yog lub hauv paus lav ntawm kev ua tiav biopsy. Tus yuam sij rau EBUS-Kev kuaj mob TBNA yog tiag tiag- lub sijhawm ultrasound qhia thiab qhov tseeb qhov chaw ntawm qhov chaw. Cov khoom lag luam hwm tau txais kev tshaj lij laser etching thev naus laus zis los tsim cov khoom siv kauv echogenic textures ntawm rab koob nto. Qhov siab -cov qauv zawj qhov tseeb tau ua kom muaj txiaj ntsig zoo ntawm ultrasound yoj kev ua haujlwm, ua rau lub koob kom pom tseeb hauv lub sijhawm tiag tiag - cov duab ultrasound. Cov kws kho mob tuaj yeem txiav txim siab qhov tob tob thiab txoj hauj lwm kom tsis txhob muaj kev sib txawv ntawm lub hom phiaj lesion. Hauv qhov sib piv, ultra- qis- tus nqi qis qis tsis muaj kev tshaj lij echogenic kev ntxhib los mos los yog kev kho deg, ua rau tsis muaj zog ultrasound xav, pom qhov muag tsis pom, thiab nyuaj tiag tiag - sij hawm tso. Qhov muag tsis pom kev yooj yim ua rau cov qauv sib txawv, kev kuaj mob tsis raug, thiab kev kuaj pom tsis zoo, ua rau muaj tus lej rov ua dua tshiab thiab cov nqi kho mob.

Hwm EBUS-TBNA koob nrog cov qauv siv tes ua kom zoo dua qub thiab txo cov kev pheej hmoo ntawm kev phais. Lub nraub qaum - txiav taw tes precision sib tsoo txheej txheem ntawm cov khoom tsim nyog tsim cov ntse thiab du txiav. Lub cev rab koob tuav 200-250 HV sib npaug hardness, uas tuaj yeem nkag mus rau hauv cov ntaub so ntswg thiab cov qog nqaij hlav sai sai, ua kom tiav cov ntaub so ntswg zoo, thiab txhim kho thawj qhov kev ua tau zoo. Nyob rau tib lub sijhawm, daim iav electropolished du nto txo ​​cov kev sib txhuam nrog cov hlab ntsws mucosa thaum lub sij hawm puncture, tsis txhob mucosal tearing, intraoperative los ntshav, thiab postoperative cov ntaub so ntswg irritation. Cov koob uas tsis tshua muaj nqi qis muaj cov lus qhia tsis meej koob thiab qhov chaw ntxhib, xav tau ntau qhov ntxig thiab rov kho dua thaum lub sijhawm phais, uas ua rau cov neeg mob mob thiab phais kev raug mob, ua kom lub sijhawm ua haujlwm ntev, thiab siv ntau qhov chaw kho mob.

Ua raws qib siab - zoo EBUS- TBNA koob txo cov teeb meem tom qab phais thiab ntev - cov nqi kho mob. Cov khoom lag luam qis qis qis dua- cov khoom lag luam raug nqi siv cov khoom tsis tsim nyog thiab cov txheej txheem ntxuav tsis tiav, nrog cov khoom seem hlau seem thiab cov khoom tsis huv ntawm rab koob nto. Daim ntawv thov kev kho mob yooj yim ua rau mob ntsws tom qab mob, kis kab mob, thiab lwm yam teeb meem, ua rau tus neeg mob rov kuaj dua, tshuaj noj, thiab nqi tsev kho mob. Rau cov tsev kho mob, cov teeb meem tshwm sim tom qab yuav ua rau muaj kev pheej hmoo ntawm kev tsis sib haum xeeb thiab cuam tshuam rau kev kuaj mob hauv chav haujlwm. Hauv qhov sib piv, siab -tus nqi tsim nyog EBUS-TBNA koob tau txais kev tu ultrasonic tob tob thiab kev kho kom tsis muaj menyuam, nrog rau biocompatibility zoo heev, tsis muaj kev pheej hmoo kis tus kab mob, ruaj khov thiab nyab xeeb kev siv tshuaj kho mob, uas tuaj yeem txo qis tus nqi mob tom qab phais thiab txuag tau ntev - cov nqi kho mob rau cov tsev kho mob thiab cov neeg mob.

Los ntawm qhov kev xav ntawm kev ua tau zoo ntawm cov nqi kho mob, tus nqi tsim nyog siab - zoo EBUS-TBNA koob muaj tus nqi siab dua ultra- qis- cov khoom lag luam qis dua. Txawm hais tias tus nqi ntawm cov khoom tsim nyog tsuas yog me ntsis siab dua, lawv muaj qhov ua tau zoo ntawm cov qauv kev ua tau zoo, tsis tshua muaj kev rov ua haujlwm dua, tus nqi qis, thiab qhov tseeb kuaj xyuas ruaj khov, uas tuaj yeem txuag tau cov nqi kho mob, cov nqi kho mob, thiab cov nqi kho mob hauv tsev kho mob. Hauv kev kuaj mob, tus nqi ntawm kev phais dua, kev kuaj mob tsis raug thiab kev kuaj mob tsis zoo, thiab cov teeb meem tom qab phais yog ntau dua li tus nqi sib txawv ntawm ib rab koob. Yog li ntawd, cov tsev kho mob yuav tsum coj tus nqi kho mob raws li qhov tseem ceeb, xaiv qhov ua raws thiab siab - zoo EBUS-TBNA koob nrog tus nqi tsim nyog, thiab paub txog qhov zoo sib xws ntawm cov nqi yuav khoom thiab cov txiaj ntsig kho mob.