超声下肺结节和肿块的经皮活检:计算机断层扫描的替代方案

Juan Bautista-Del Valle, M. A. Borensztein, Jésica L. Savluk, G. Ducrey
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引用次数: 0

摘要

肺结节和肿块传统上是在计算机断层扫描(CT)指导下进行活检。超声作为肺结节活检的指导仍然被低估。超声可用于靶向胸膜肺结节。具体的训练适应症包括:机械通气、对侧全肺切除术、不合作患者和无法控制的咳嗽。术后护理应包括生命体征检查、疼痛评估和并发症评估。由于病变的局限性,并发症,如肺气肿和实质出血的发生率低于CT引导下的活检。在这篇文章中,我们提供了超声引导下肺结节活检的患者选择、计划和安全执行的基本概念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Biopsia percutánea de nódulos y masas pulmonares bajo ecografía: una alternativa a la tomografía computada
Pulmonary nodules and masses are traditionally biopsied under computed tomography (CT) guidance. Ultrasound remains underrated as lung nodule biopsy guide. Ultrasound can be employed to target pleural based lung nodules. Specific con-traindications include: mechanical ventilation, contralateral pneumonectomy, non-cooperative patient and uncontrollable coughing. Post procedural care should cover vital signs check, pain assessment and complication evaluation. Due to lesion localization, complications such as pneumothorax and parenchymal bleeding are less frequent than in CT guided biopsies. In this article we provide basic concepts for patient selection, plan and safe execution of ultrasound guided pulmonary nodule biopsy.
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来源期刊
Revista Argentina de Radiologia
Revista Argentina de Radiologia Medicine-Radiology, Nuclear Medicine and Imaging
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