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ID:62070285
大小:3.26 MB
页数:89页
时间:2021-04-14
《最新INTERVENTIONAL RADIOLOGY介入影像学2-药学医学精品资料.ppt》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、最新INTERVENTIONALRADIOLOGY介入影像学2-药学医学精品资料INTRODUCTIONInterventionalradiologistsaredoctorswhospecializeinminimallyinvasive,targetedtreatmentsthathavelessrisk,lesspainandlessrecoverytimecomparedtoopensurgery.Theyusetheirexperiencetomapouttheproceduretailoredtotheindividual
2、patienttotreatdiseasesatthesiteoftheillnessnonsurgically.InterventionalradiologyisarecognizedmedicalspecialtybytheAmericaBoardofMedicalSpecialties.INTRODUCTIONGOAL------->simplifytreatmentinawaythatminimizespatientdiscomfort,rendersgeneralanesthesiaunnecessary,lowersthe
3、incidenceofmorbidityandmortality,anddecreasesthelengthandcostofhospitalization.Specialprocedurescanreplacesurgery(embolizationofbleedingulcers).Otherscancomplementsurgery(postoperativeabscessdrainage).Certainprocedurescanbeusedinthemanagementofconditionsforwhichthereisn
4、osurgicalsolution(selectivechemotherapy).FNACandTrueCutCoreBiopsyIndicationsPresenceorabsenceofdisease.Natureofdisease(neoplastic,inflammatory,infectious).Extentofdisease.FNACandTrueCutCoreBiopsyContraindicationsAbnormalcoagulationprofile---Elevatedprothrombintime(PT).-
5、--Elevatedpartialthromboplastintime(PTT).---Depressedplateletcounts.---Lowprothrombinconcentration(PC).FNACandTrueCutCoreBiopsyPatientpreparationInformedconsent.Normalbleedingprofile.Startclearliquiddiet,thenightbeforetheprocedure.Anxiolyticagents(anxiouspatients,severe
6、lypainfulbiopsieslikebone,infants).Sterilizethepuncturesite,drapethesurroundingarea.FNACandTrueCutCoreBiopsyEquipmentFNAC-----spinalneedles(20–22Gauge)TrueCutCoreBiopsy-----truecutbiopsyneedle(unicut16G15cm),gunbiopsyneedle(speedybell18G20cm).123FNACandTrueCutCoreBiopsy
7、TechniqueUltrasoundorCTguided.Preciselesionsite.Applylocalanaesthetic(1%lidocaine)subcutaneous(TrueCutBiopsy).Insertneedleunderguidance.Cytopathologistatbiopsyprocedurecanminimizenumberofpasses.FNACandTrueCutCoreBiopsyComplicationsPainanddiscomfort.Hemorrhage(heamatoma)
8、.Pneumothorax(lungbiopsy).PERCUTANEOUSABSCESSDRAINAGEPercutaneousAbscessDrainagePatientpreparationNormalbleedi
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