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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

实用临床医药杂志2012,Vol.16Issue(17):56-58,3.
实用临床医药杂志2012,Vol.16Issue(17):56-58,3.

经支气管针吸活检术21例失败原因分析

Analysis of failure in 21 patients with transbronchial needle aspiration

廉海容 1蔡礼鸣 1张秀芹 1张芳 1钮革亚1

作者信息

  • 1. 江苏省无锡市第四人民医院呼吸内科,江苏无锡,214062
  • 折叠

摘要

Abstract

Objective To summarize the failure in 21 patients with transbronchial needle aspiration in our department and analyze the causes. Methods The failures in 21 patients with trans-bronchial needle aspiration which did not obtain effective cytological or histological sampling in our hospital from March 2010 to July 2010 were retrospectively reviewed. Results In 21 failure cases, 2 cases(2/21, 9. 5%)did not complete because of severe cough, one (1/21, 4. 8%) because of puncturing blood vessel and hemorrhage, 4 (A/21, 19%) because of failing to puncture the bronchial wall, 10 (10/21, 47.6%) had no cells in the samples and only had red cells, cartilage, or bronchial epithelial cells, one (1/21, 4.8%) caused mediastinal emphesema, one case(l/21, 4. 8%) caused cytolysis because cell tissue was not put into the fixing solution in time, and 2 (2/21, 9.5%) because of breath motion. Conclusion TBNA is a difficult - to - master technique which requires constant practice.

关键词

经支气管针吸活检术/气管镜/失败/活检

Key words

transbronchial needle aspiration/ bronchoscope/ failure/ biopsy

分类

医药卫生

引用本文复制引用

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,2012,16(17):56-58,3.

基金项目

江苏省无锡市科技局科技支撑-医疗卫生项目(CSEY1N1107). (CSEY1N1107)

实用临床医药杂志

OACSTPCD

1672-2353

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