Hauv kev ua pa ntawm kev mob ua pa thiab kev kho mob, bronchoscopy yog ib qho kev kho mob tseem ceeb "} Nws tuaj yeem ua rau mob ntsws thiab hempees.
I. Cov Hom Phiaj: Cov Tswv Cuab Tseem Ceeb ntawm Cov Tsev Neeg Bronchoscope
Niaj hnub no, Bronchoscopy tau tsim ib qho zoo - Tsab ntawv txhais, npog cov kev kuaj mob thiab kev kho mob sib txawv:
1. Cov qauv theem pib: Kev tuav cov teeb meem thiab cov mob xwm ceev
Cov pob zeb nruj: Ua cov hlau, muaj zog xuas, haum rau thaum muaj xwm txheej ceev ceev / hemostasis; Yuav tsum muaj cov tshuaj loog dav dav, feem ntau siv los ua kev ntxiv kom yoog raws bronchosces.
Saj zawg zog Bronchoscope: suav nrog fibeloptic (yoog raws (siab {{{{{{{{{tus qauv kev mob ntsws cancer, thiab lwm yam)
2. Precision qauv: Nrhiav kev hloov pauv thiab tob tob
Electrobronchchound (EBus): Nruab nrog ib qho kev sojntsuam ultrasound, nws pom cov ntsws me metstast qauv thiab pab ua kom mob ntsws ua rau mob qog nqaij hlav theem; Muaj nyob rau hauv "loj ultrasound" thiab "ultrasound me me".
Fluorescence Bronchoscopy: Ntes Me Cawv Mob Mob Mob Cesions Siv cov tshuaj fluorescence, txhim kho kev mob ntsws thaum ntxov mob ntsws.
3. Cov qauv tsim qauv: ncav cuag "tsis muaj tus txiv neej thaj av" ntawm lub ntsws
Hluav Taws Xob Hluav Taws Xob Bronchoscopy (Enb): CT Qauv) Lub Chaw Tso Tawm, mus txog Me
NEEG hlau - pab tau bronchoscopy: ua haujlwm los ntawm kev ua haujlwm loj, muab cov txheej txheem sib hloov, haum rau cov txheej txheem nyuaj.
Ii. Cov tub ntxhais muaj nuj nqi: Qhov cuab yeej muaj zog rau kev kuaj mob thiab kev kho mob
Bronchoscopy, nrog nws cov ntsiab cai tseem ceeb ntawm "kev kuaj mob thiab kev kho mob tsawg tsawg," qhia tag nrho cov txheej txheem ntawm cov pa ua pa:
1. Kev kuaj mob: Xauv cov "code" ntawm cov kab mob
Nrhiav qhov ua rau: txheeb xyuas lub xaib ntawm cov nyom ntawm cov hemopthsis thiab tshawb xyuas qhov ua rau muaj mob tsis ntev tshaj 3 lub lis piam.
Kev paub cov qog: saib xyuas cov morphology ntawm kev mob ntsws hauv nruab nrab thiab tau txais cov ntaub so ntswg rau kev tshuaj ntsuam; Tau txais cov ntaub so ntswg mob ntsws bipheral ntawm biopsy kom tshab txhais nws hom thiab theem.
Kev tshuaj xyuas rau kab mob: Tshawb pathogens hauv kev ua pa hluav taws xob refractory los ntawm kev sau cov qhov txhab nyiaj endobronchial tuberculosis txhawm rau txhim kho tus nqi kuaj mob.
Kev tshuaj xyuas cov qauv: tshawb xyuas cov hauv paus cag ua rau ntawm atelectasis thiab lub hauv siab nruj; Kev soj ntsuam cov pa hluav taws xob hauv cov neeg mob cops nrog Copd thiab hawb pob los pab txhim kho cov phiaj xwm kev kho mob.
2. Kev Kho Mob: Tsawg Tsawg Kev daws teeb meem
Kev tshem tawm obstructions: tshem tawm cov khoom txawv teb chaws los ntawm cov hlab cua thiab tshem cov hnoos qeev, granulation nqaij, lossis qog kom rov qab ua pa pats.
Kho cov txhatrosos thiab fistulas: dilating av nqaim airways lossis ntxig stents; Sealing tracheoesofoageal fistulas kom tiv thaiv tau tus kab mob.
Mob ntsws cancer: Ablation, kev txhaj tshuaj tshuaj hauv zos, lossis photodynamic txoj kev kho tuaj yeem thim cov qog thiab daws cov tsos mob.
Kev saib xyuas xwm txheej kub ceev thiab kev pab kho mob ceev: hemostasis rau hemoptysis, thiab txhim kho kev mob ntsws cancer rau kev ua kom mob siab rau cov neeg mob hnyav.
III. Cov teeb meem thiab kev pheej hmoo: Ua tib zoo kev soj ntsuam yuav tsum
Thaum bronchoscopy muaj cov txiaj ntsig tseem ceeb, nws tsis haum rau txhua tus neeg thiab nqa qee cov kev pheej hmoo:
1. Confaindications
Qhov tsis muaj peev xwm: Cov neeg tiv thaiv mob hnyav tsis txaus (piv txwv li lub plawv tsis ua haujlwm, ua rau tsis taus pa), tsis muaj peev xwm zam rau kev tshuaj xyuas; Kev hnyav arhythmias, tsis ntev los no myocardial infarction, lossis tsis khov angina; Coagulation kev cuam tshuam (mob hnyav thrombocytopenia, hemophilia), pheej hmoo ntawm los ntshav loj; Kev ua txhaum loj rau tshuaj loog lossis mob hlwb tiv thaiv kev koom tes.
Tus txheeb ze cov kev sib raug zoo: kev xeem yuav tsum tau ncua thaum lub sijhawm mob siab ua pa lossis mob hawb pob; Yog tias kuaj xyuas yog qhov tsim nyog rau cov neeg mob uas yog hemopyst loj, muaj cov pa ua pa ua ntej kom txo tau kev pheej hmoo ntawm asphyxiation; Cov neeg mob uas muaj aneyurysms lossis hnyav tshaj qhov sib xws yuav tsum tau ceeb toom kom tsis txhob muaj kev ceev faj lossis ntshav ntau.
2. Cov phom sij thiab kev tswj hwm
Cov kev pheej hmoo ntau suav nrog kev ua xua xws li los ntshav, los ntshav tom qab 0.5%), yuav tshwm sim thaum lub sij hawm peripheral lung purongrure). Txawm li cas los xij, los ntawm kev txheeb xyuas kev paub txog elecountrial anecivamogram thiab zam kev sib tw hauv zos (xws li kev soj ntsuam sab nrauv, cov kev pheej hmoo tuaj yeem txo qis. Tam sim no, qhov tshwm sim ntawm kev muaj mob hnyav rau kev ua kom tsis muaj zog ntawm cov menyuam yaus yog tsawg dua 0.1%.
IV. Yav tom ntej saib xyuas: Ntau dua thiab txawj ntse
Lub tswv yim tsim kho nruam hauv Bronchoscopy yuav tau ua tau zoo dua li qhov xav tau rau "tsawg tsawg kev ua kom zoo, thiab kev nyab xeeb" cov txheej txheem:
1.Cov kev phais: Laser ua rau lub tsom iav me me magnivies cov nqaij mos kua txiv, thiab tuaj yeem siv hauv kev kuaj mob thiab kho cov kab mob ua pa.
2.StMerner Navigation: Kev tsim kho ntawm Ai -} Powered Intories rau Txoj Kev Npaj; Kev kho dua tshiab ntawm cov chaw taws teeb rau cov chaw taws teeb, tau txais txiaj ntsig cov neeg mob nyob rau thaj chaw deb.
3.Txoj kev siv tau zoo: kev txhawb nqa ntawm "-}}}, ua tiav nrog tib lub endascope-} theem mob cancer.
4. Cov kev paub zoo: Kev xa tawm "