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相关概念视频

Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

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Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
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Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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相关实验视频

Updated: Sep 13, 2025

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
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在CT指导的皮肤肺结节局部化中的肺反应的危险因素:单中心回顾性研究

Ning Zhou1, Nan Feng2, Zichen Jiao3

  • 1Department of Thoracic Surgery, Nanjing Drum Tower Clinical College of Nanjing Medical University, Nanjing, People's Republic of China.

Therapeutics and clinical risk management
|July 29, 2025
PubMed
概括

年龄较小,针调整,麻醉不良和糖尿病在CT指导肺结节局部化过程中增加了多反应. 谨慎管理可以降低这些风险.

关键词:
拉索·拉索 (Lasso) 是一个肺部结节 肺部结节体反应 体反应穿孔位置定位 穿孔位置定位有关风险因素的风险因素.

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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
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科学领域:

  • 肺部医学 肺部医学
  • 干预性放射学 干预性放射学
  • 胸部外科手术 胸部外科手术

背景情况:

  • 胸腔反应 (PR) 是计算机断层扫描 (CT) 引导的肺部手术中常见的并发症.
  • 在CT导向皮肤通肺结节局部化 (CT-PLNL) 中确定PR的风险因素对于提高患者安全至关重要.

研究的目的:

  • 在CT指导的皮肤穿透肺结节局部化 (CT-PLNL) 程序中,识别与肺部反应 (PR) 相关的独立风险因素.

主要方法:

  • 在视频辅助胸部手术 (VATS) 之前,对467名接受CT-PLNL患者进行了回顾性研究.
  • 临床数据,成像和实验室结果使用单变量分析,LASSO回归和二进制后勤回归来分析.
  • 用接收器操作特征 (ROC) 曲线,校准曲线和决策曲线分析 (DCA) 来评估模型性能.

主要成果:

  • PR的发生率为5.35%.
  • 独立的PR风险因素包括年轻的年龄,肺内针道调整,不充分的麻醉和糖尿病史.
  • 开发的模型显示出出色的区分能力和高临床适用性.

结论:

  • 年龄较小,手术内针调整,麻醉不足和糖尿病是CT-PLNL后PR的重要风险因素.
  • 优化麻醉,尽量减少针头操纵和糖尿病患者的葡萄糖管理等策略可能会降低PR风险.