经支气管针吸活检术21例失败原因分析

廉海容, 蔡礼鸣, 张秀芹, 张芳, 钮革亚

廉海容, 蔡礼鸣, 张秀芹, 张芳, 钮革亚. 经支气管针吸活检术21例失败原因分析[J]. 实用临床医药杂志, 2012, (17): 56-58.
引用本文: 廉海容, 蔡礼鸣, 张秀芹, 张芳, 钮革亚. 经支气管针吸活检术21例失败原因分析[J]. 实用临床医药杂志, 2012, (17): 56-58.
LIAN Hai-rong, CAI Li-ming, ZHANG Xiu-qin, ZHANG Fang, NIU Ge-ya. Analysis of failure in 21 patients with transbronchial needle aspiration[J]. Journal of Clinical Medicine in Practice, 2012, (17): 56-58.
Citation: LIAN Hai-rong, CAI Li-ming, ZHANG Xiu-qin, ZHANG Fang, NIU Ge-ya. Analysis of failure in 21 patients with transbronchial needle aspiration[J]. Journal of Clinical Medicine in Practice, 2012, (17): 56-58.

经支气管针吸活检术21例失败原因分析

基金项目: 江苏省无锡市科技局科技支撑-医疗卫生项目
详细信息
  • 中图分类号: R768.1

Analysis of failure in 21 patients with transbronchial needle aspiration

  • 摘要: 目的 总结本科开展经支气管穿刺针吸活检技术以来穿刺失败的病例21例,并分析其原因.方法 回顾性分析2010年3月~2011年7月间在无锡市第四人民医院气管镜室进行TBNA操作的所有未获得有效组织细胞学证据的病例21例进行分析.结果 21例TBNA失败病例中,2例(2/21,9.5%)因咳嗽剧烈无法完成穿刺;1例(1/21,4.8%)因穿刺误入血管,出血较多无法完成穿刺;4例(4/21,19%)气管环间多次穿刺无法透过气管壁而失败;10例(10/21,47.6%)穿刺物中无细胞组分,仅有红细胞、软骨或支气管上皮细胞;1例(1/21,4.8%)穿刺中纵隔气肿,末完成穿刺;1例(1/21,4.8%)因细胞涂片未及时酒精固定,细胞溶解而无法诊断;2例(2/21,9 5%)因肿块位于肺周围,呼吸活动大而无法完成穿刺.结论 TBNA是一项需要反复操作训练,经历多次失败后才能掌握的技术.
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出版历程
  • 发布日期:  2013-01-15

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