Sinh thiết u phổi – màng phổi dưới hướng dẫn siêu âm thuận lợi và thách thức

SINH THUIPHOEL-TMANG PHOI

Mũi HUONG DAN SEU AM

THUAN LOLVA THACH THUC

TS.BS Hodng Thi Ngoo Ha

Bodmin Chan dodnhnh anh - Trudng DHY Duoe,

Daioc Hue

— lo em NI owt mm

Ko 04h \) Ị

MO DAU chin in PNA, Cr

+ §ÌM

» iuchiin don

+ Sui ng din an th
biopsy, ht dich xt ni)

vin ng dinning dni
tut choc gh m,n ou dh PM, dpe,

cin du git,

NO DAU

SEU AN HUONG DAN CAN THLE

Vato

Siu oh vin thuvmg in vi chon digi dn i tin ht
lim, ti vi tung quan i ph

+ Lig the cy khoa CDA ip BS CDHA ch ding tong the

big thi thu, him kham dng, liền sat tot duomg kim

Mì th thy hién daohuong dan Siu inhchit Xie, an todn c40,

Va. the thyc hin rn hig ngucnbénh ngot tr, bien chimg i

+c thi thu ung dung choc ht bio ing kim ai,

sinh tht vi choc hitch hoe dt din

uyen tc: Vo khuanA ý‘AA

MO DAU UPHOL-MANG PHOL

MQ DAU

4 Nam 1864 Mei nui di tin dng in het phi chin dn ng hp

4 Sin ht phi bit qu ing gue due Leyden Ht bin Kin Cu iu 193 chin dn vi
phi

4 Kin thera ged io msg ue 1983 trig hp sin thi phi ui heb vo
wm 1940,

4 KG hut iui nly cog daye it nai khi nhi th vo hi ng gi lh địt tin nì

tù! it xem pha lật day ya chon hing cho mye dich inh vi hung din trong tha
tht can ip ng tụt, vt ri cia hu chu sium so i yd hít truy thi ng

hn Ln ean hi da dye

4 SIBUAMLA ONG GHE CU THEKY’2

NO DAU

Sin tipi qua thin ngs

inh hit phi it bing kim oho (ranthrie fin eel asian bi)

chin dod tio bc, viKbuin vad,
> Ud: hue it ching

> Nhe dm: hing ot day ch trem phi fu King GunKn dh be,

> Cli ve $25% i dn ia 425% va dung ih gabh 4,

4 inh hit pict (ranthori cuting nee igs) chin dn mu bi,

> Udi: mdash ht Cn gt Cae cu tricia phi it dang tih gi
> Nhudym: hi bien bo (chiy ph rn Kl ng ti,„)

MQ DAU

NEAL

Kha ning
Ti
ce ú

as. lk lữ

Ấn. tly
mm...
eeeNI
—¬——n
n4

Uw diém ca Kj thu

¢ Chin tho bt ky mit png non dip dah dng dian ton va thu ah
4 Khi wg tho di tho ti gn thy inky tt su im nhing di bien dang iy ra ch
(bn thin b chong tn cg tn ding dn dich oa thu cui dye ke sd

4 Co thi wt kip tht trong ki thao tc hay ning ww ti th li nhi it

mong mun vy,

4 Doppler mu ip nin hy cc yeh mu ip gi thu dug i bin chiy mu,

4 Khong abit Hon on vb emt ix ion a, hing nb cc pho tn bun din

can thi Kc bu oi du ming ting sng vat ivi ih,
Tinh ph cp cia Ky thịt situ i, tu mi oh lì th th tủy d thé due te inh tị

ivy bah ahi nu cn ti

Go sinh vd nay vid je bu cia sinh it

Sah it

Ge 84H, Sp 81.3% svi cg bo Se 78%, Sp $81(4De Fara l 2003 (a6)

Se tho Greif etal (n=70) - Lung cancer 1999 i 81,5%

Sethe Vonmor tl (138) Cini Raiol 206 93.3%, ie ching kin 13%,

Mi

—linựhin hi, in

Colinin

địt sein hath

Gi ph Kingin sin chy kin ton

thay

"> KHONG Kddn tren

song dm > Neuy co ding thi

thuat kid tran Khim phi

> TAIBIEN

Cac bud quy trinh thực hiện

> Chun bj BN a phtoin dnung ey: 0Ì) (NHỦ!t
1, Kiém tra son
2. Chun bj tim cho bn > Chudn bi
3, Dattuthé Bn tic hop
1. ta bbs bn
4. Chon kim phi hop
2. Chuntim ho bn
$, Chudn bj div db va eld Khudn
$,bthaé Btn tth uhop
> Tc igh that
4 hon kphtop
6,44 OHVTR CHOC
5, Chun bd da gel bud
7.Mang ku trang, tay,
> Thy ign thi tht:
§,Dan dduvtr chge d, sinh thi
9, Strivntgcn hoe vd ung quanh (dn $. ah tcc db
í|
9,Sattring vt choc vung quan
1\1ảilhinl (on6)

11, Git dvi di do 10iltinl

12. Choc kim: Ch kim qua da vd Theo di > Quan sit BN trong svt qu inh thy

durbng dca kim (rn iu dm} liệnàtiláii

13, L4y mau bin tit

6 inh mi trong formain

BN trong subt qu in thy én vx

uc)

CHUAN BI BENH NHAN

Phim an chyp X quang, CLV, CHT

-Hosubéditahaaint

“Co thù chi di thy hig thi thuat di duoc thong qua

-Kiém ta Blan dng mau vd chi cd lan dng du

- Nauti bith dune gi toh ki vẻ
+ Much vac tabi fh gp Ki n hinh sih th

+Thi tt hihi hop vi hi the,

CHUAN!

- líy âu dm vi du di convex 335M hoje linea 7-0Mhz (tr em:

TM), v sinh sch du (Ovi ding baovo tring lụt du d vi néu ci th
wth ding noe muti snh hie poviin im cht din hay ge sium,
+ Kim Trucut voi sing di kém,

- Bi dmg cy nh thi cut coed (mim, in I, ng tay v0 tring, bong
oac, betadine, Kelly, bom idm $10ce, kim choe do tuy song 2G)

«Lunmgu bh phim ic bah mu

1, May sigu dm va dau ddl¿“AA\ h\

2 Cae phuon tn v0 kui

“A BQ
oo
a)
W %, =
Ñ %

ở) / ] a

/ ƒ

7

3 Phu ti khít

4, Dung dich hoa tit, lút

FORMALDEHYDE:

1foal ue

*Forni+ (0m

“ly + 90 few
Ne

uta buf formalin =

*Fomulin -|fhl |
Maer 00a
dae = 4m
*Sodum phophate monobasic mano 6m
*Sodium haga is anys»

Dun dichdaoh nu

4 Dung ih achatth,u

MỊI
TT

Dung ih st Khun

§ Phung tg iy mau Kimn hg it bio

/ / LVR ERIA

| /}

Sing vi kim sinh hit

Lam boc lg mau