开放式肺活检

定义

An open lung biopsy is surgery to remove a small piece of tissue from the lung. The sample is then examined for 癌症感染，或 肺部疾病.

选择的名字

活检-开肺

How the Test is Performed

An open lung biopsy is done in the hospital using 全身麻醉. This means you will be asleep and pain free. A tube will be placed through your mouth down your throat, and into your windpipe (trachea) to help you breathe.

The surgery is done in the following way:

• After cleaning the skin, the surgeon makes a small cut in the left or right side of your chest.
• The ribs are gently separated.
• A viewing scope may be inserted through a small hole between the ribs to see the area to be biopsied.
• Tissue is taken from the lung and sent to a laboratory for examination.
• After surgery, the wound is closed with stitches.
• Your surgeon may leave a small plastic tube in your chest to prevent air and fluid from building up.

The breathing tube may not be able to be removed right after surgery. So, you may need to be on a 呼吸机 一段时间以来.

How to Prepare for the Test

You should tell your surgeon if you are pregnant, allergic to any medicines, or if you have a bleeding problem. Be sure to tell your health care provider about all the medicines you take, 包括草药, 补充, and those bought without a prescription.

Follow your surgeon's instructions for not eating or drinking before the procedure.

How the Test will Feel

When you wake up after the procedure, you will feel drowsy for several hours.

There will be some tenderness and pain where the surgical cut is located. Most surgeons inject a long-acting local anesthetic at the surgical cut site so that you will have very little pain afterward.

You may have a sore throat from the tube. You can ease the pain by eating ice chips.

Why the Test is Performed

The open lung biopsy is done to evaluate lung problems seen on x射线 or CT扫描.

正常的结果

The lungs and lung tissue will be normal.

What Abnormal Results Mean

Abnormal results may be due to:

• 良性的 (not 癌症ous) tumors
• 癌症
• Certain infections (bacterial, viral, fungal, or parasitic)
• Lung diseases (fibrosis)

The procedure may help diagnose a number of different conditions, such as:

• Rheumatoid 肺部疾病
• 结节病 (inflammation that affects the lungs and other body tissues)
• Granulomatosis with polyangiitis (inflammation of the blood vessels)
• Pulmonary hypertension (high blood pressure in the arteries of the lungs)

风险

There is a slight chance of:

• 空气泄漏
• 失血过多
• 感染
• Injury to the lung
• Pneumothorax (collapsed lung)

参考文献

Chernecky CC, Berger BJ. Biopsy, site-specific - specimen. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures. 6日艾德. St Louis, MO: Elsevier Saunders; 2013:199-202.

Wald O, Izhar U, Sugarbaker DJ. Lung, chest wall, pleura, and mediastinum. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21艾德. St Louis, MO: Elsevier; 2022:chap 58.