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成功地通过实时支气管内超声引导经支气管针吸活检术获取肺门肿块,穿刺过程中穿过了肺动脉。

Successful real-time endobronchial ultrasound-guided transbronchial needle aspiration of a hilar lung mass obtained by traversing the pulmonary artery.

作者信息

Vincent Brad, Huggins J Terrill, Doelken Peter, Silvestri Gerard

机构信息

Medical University of South Carolina, Charleston, South Carolina, USA.

出版信息

J Thorac Oncol. 2006 May;1(4):362-4.

PMID:17409884
Abstract

The utility and safety of transbronchial needle aspiration is well described. Serious complications from transbronchial needle aspiration are exceedingly rare. The addition of endoscopic ultrasonographic techniques in the form of endoscopic ultrasonography and, more recently, endobronchial ultrasonography has added valuable information regarding lymphatic anatomy of the hilum and mediastinum. In addition, the use of real-time ultrasound gives the operator visual feedback of needle placement and proximity to major surrounding structures such as the heart and great vessels. Here, the authors present the case of a 74-year-old man with a left hilar mass who underwent biopsy by means of intentional traverse of the pulmonary artery.

摘要

经支气管针吸活检术的实用性和安全性已有充分描述。经支气管针吸活检术引起的严重并发症极为罕见。以超声内镜检查,以及最近的支气管内超声检查形式添加的内镜超声技术,提供了有关肺门和纵隔淋巴解剖的有价值信息。此外,实时超声的使用为操作者提供了针放置位置以及与心脏和大血管等主要周围结构的接近程度的视觉反馈。在此,作者介绍了一例74岁男性左肺门肿块患者,该患者通过有意穿过肺动脉进行活检的病例。

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