常规经支气管镜针吸活检术的非“王氏”穿刺点选择探讨

Selection of “non-wang” puncture points for conventional transbronchial needle aspiration

摘要:

目的 探讨常规经支气管镜针吸活检术（C-TNBA）的非“王氏”穿刺点定位选择，提高对C-TBNA的认识。方法 收集浙江省人民医院非“王氏”穿刺点C-TBNA成功病例6例，并对穿刺点选择方法进行分析总结。结果 6例患者胸部CT提示为贴壁腔外肺部病变，部位为非“王氏”穿刺点，均行C-TBNA，并经病理明确诊断。结论 通过“AB钟面三步法”对非“王氏”穿刺点进行定位选择，可使C-TBNA在临床中获得更好的应用。

Abstract:

Objective To improve the understanding of conventional transbronchial needle aspiration (C-TBNA), how to select the “non-wang” puncture points for conventional transbronchial needle aspiration was discussed.Methods 6 cases of the “non-wang” puncture points for conventional transbronchial needle aspiration were retrospectively analyzed, and the puncture point selection methods were analyzed and summarized.Results 6 patients with chest CT showed extraluminal lung lesions at “non-wang” puncture point, all of whom were diagnosed by C-TBNA and pathology.Conclusion The “AB-three-step” method for the location to the “non-wang” puncture points could make C-TBNA better in clinical application.