天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (6): 638-642.doi: 10.11958/20170514

• 技术规范 • 上一篇    下一篇

基于快速现场评价的诊断性介入肺脏病学标准取材技术

冯靖 1，周国武 2，李雯 3△，孟晨 4△，周红梅 5△，李彩丽 1，曹洁 1   

  1. 1 天津医科大学总医院呼吸与危重症医学科（邮编 300052）；2 中日友好医院呼吸中心呼吸与危重症医学科三部；3 浙江大学医 学院附属第二医院呼吸与危重症医学科；4 山东大学齐鲁儿童医院呼吸介入科；5 广东医科大学附属中山医院呼吸与危重症医学科
  • 收稿日期:2017-04-26 修回日期:2017-04-30 出版日期:2017-06-15 发布日期:2017-07-05
  • 通讯作者: △通讯作者 李雯 E-mail: liwenzjhz0408@163.com；孟晨 E-mail: mengchen.6666@163.com；周红梅 E-mail: zhouhongmei2011e@163.com E-mail:liwenzjhz0408@163.com
  • 基金资助:
    国家自然科学基金面上项目（81570084，81270144）；国家自然科学基金青年基金项目（30800507）；国家科技支撑计划课题 （2015BAI12B00，2015BAI12B11）

The standard operating techniques for diagnostic interventional pulmonology based on rapid on-site evaluation

FENG Jing1, ZHOU Guo-wu2, LI Wen3△, MENG Chen4△, ZHOU Hong-mei5△, LI Cai-li1, CAO Jie1   

  1. 1 Department of Respiratory, Tianjin Medical University General Hospital, Tianjin 300052, China; 2 Department 3 of Pulmonary and Critical Care Medicine, China- Japan Friendship Hospital; 3 Department of Respiratory and Critical Care Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine; 4 Department of Respiratory Interventional Medicine, Qilu Childern’s Hospital of Shandong University; 5 Department of Respiratory and Critical Care Medicine, Affiliated Zhongshan Hospital of Guangdong Medical University
  • Received:2017-04-26 Revised:2017-04-30 Published:2017-06-15 Online:2017-07-05
  • Contact: △Corresponding Author LI Wen E-mail: liwenzjhz0408@163.com; MENG Chen E-mail: mengchen.6666@163.com; ZHOU Hong-mei E-mail: zhouhongmei2011e@163.com E-mail:liwenzjhz0408@163.com

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摘要： 将快速现场评价（ROSE）技术与介入诊断有机结合，可构建完整的“基于快速现场评价的诊断性介入肺脏 病学”体系。在 ROSE 辅助下，改变介入诊断操作的方式、方法和手段以获取靶病灶，是该体系的核心环节。本文详 细介绍了“基于快速现场评价的诊断性介入肺脏病学”体系中最常使用的标准取材技术，包括双铰链刮匙操作技术、 经支气管肺活检（TBLB）技术和经支气管刷检技术。

关键词: 细胞学, 微生物学, 病理学, 放射摄影术, 介入性, 快速现场评价, 介入呼吸病学

Abstract: With the organic combination of rapid on-site evaluation (ROSE) and interventional pulmonary diagnostic technology, we can build a complete "The System of Diagnostic Interventional Pulmonology Based on Rapid on- site Evaluation". With the help of ROSE, changing the ways, methods and modalities of interventional pulmonary diagnostic technology to obtain the target lesions is the core of this system. In this statement, the most commonly used standard operating techniques in "The System of Diagnostic Interventional Pulmonology Based on Rapid on- site Evaluation" are described in detail, including double-hinge curette operating technique, transbronchial lung biopsy (TBLB) technique, and transbronchial brushing technique.

Key words: cytology, microbiology, pathology, radiography, interventional, rapid on site evaluation, interventional pulmonology