一个青少年的醒着胸腔镜中膜活检:一个案例报告
Morgan L Brown1, Samantha M Koenig1, Vincent Mortellaro1
1Division of Pediatric Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, 35233, USA.
Journal of pediatric surgery case reports
|November 27, 2025
概括
儿科外科医生可以使用清醒的视频辅助胸腔镜手术进行中质活检,当气道压缩防止全身麻醉时. 这种技术为诊断和治疗规划提供了足够的组织.
科学领域:
- 胸部外科手术 胸部外科手术
- 儿科瘤学 儿科瘤学
- 诊断病理学的诊断病理学
背景情况:
- 中质量在儿童中很常见,并可能导致危及生命的气道压缩.
- 一般麻醉可能是禁忌的,因为呼吸道的妥协,阻碍诊断活检.
- 之前的活检方法对于这种特定病例是不够的.
研究的目的:
- 描述了一种创新的清醒胸腔镜活检技术,用于儿童患者的前侧中质量呼吸道压缩.
- 为了证明在局部麻醉和镇静下获得足够的组织用于诊断的可行性.
主要方法:
- 一名13岁的患有大额前中质量导致气管压缩的患者接受了视频辅助胸腔透视活检.
- 该手术使用了静脉注射胺和局部麻醉,使用5毫米的三角管系统.
- 使用喉活检取组织.
主要成果:
- 清醒时进行的胸腔镜活检成功地产生了足够的组织用于诊断.
- 病理学证实了经典的霍奇金淋巴瘤,IIA阶段.
- 患者在术后第一天出院,并开始化疗.
结论:
- 清醒视频辅助胸腔镜手术是一种可行且安全的选择,用于对导致气道压缩的儿科中瘤进行活检.
- 这种技术允许在全身麻醉不可能时进行明确的诊断.
- 它有助于及时启动适当的瘤治疗.
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