| 北京协和医院经皮心内膜心肌活检临床操作规范 |
| |
| 引用本文： | 徐希奇,田庄,方全,荆志成,张抒扬. 北京协和医院经皮心内膜心肌活检临床操作规范[J]. 协和医学杂志, 2021, 12(3): 322-327. DOI: 10.12290/xhyxzz.2021-0161 |
| |
| 作者姓名： | 徐希奇 田庄 方全 荆志成 张抒扬 |
| |
| 作者单位： | 1.中国医学科学院 北京协和医学院 北京协和医院心内科，北京 100730 |
| |
| 基金项目： | 国家重点研发计划2016YFC0901502中国医学科学院医学与健康科技创新工程2016-I2M-1-002 |
| |
| 摘 要： | 经皮心内膜心肌活检是利用心肌活检钳经外周血管夹取心内膜心肌组织的技术,迄今在临床上应用已超过50年,且相关技术不断更新.目前心内膜心肌活检及心肌病理学诊断已成为诊断心肌炎、心肌病的重要手段.北京协和医院心内科已进行500余例心内膜心肌活检操作,积累了一定的经验,因此特制定经皮心内膜心肌活检临床操作规范,主要包括其适应证...
|
| 关 键 词： | 心肌炎 心肌病 心内膜心肌活检 |
| 收稿时间： | 2021-02-03 |
Standard Operation Procedure of Percutaneous Endomyocardial Biopsyin Peking Union Medical College Hospital |
| |
| Affiliation: | 1.Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China2.State Key Laboratory of Complex Severe and Rare Diseases, Beijing 100730, China |
| |
| Abstract: | Percutaneous endomyocardial biopsy (EMB) is a technique that biopsy samples are obtained using the bioptome through a peripheral blood vessel. The technique has been used and refined for more than 50 years in clinical application. Now EMB has become an important tool of the diagnosis of myocarditis and cardiomyopathy. The department of cardiology of Peking Union Medical College Hospital (PUMCH) has performed more than 500 cases of EMB and accumulated abundant practical experience. The clinical practice guideline of percutaneous EMB was also established in PUMCH, including indications, contradictions, key points of the operation, sample handling and processing, post-procedure monitoring, and the treatment strategy for potential complications, etc. Due to the limitation of EMB, cardiologists should collaborate with experts on echocardiography, cardiac magnetic resonance and cardiac pathology to decrease the probability of missed diagnosis and misdiagnosis. Cardiologists should pay much attention to the value of EMB and actively perform EMB to improve the diagnosis level of myocarditis and cardiomyopathy in China. |
| |
| Keywords: | |
| 本文献已被 CNKI 等数据库收录！ |
| 点击此处可从《协和医学杂志》浏览原始摘要信息 |
|
点击此处可从《协和医学杂志》下载免费的PDF全文 |
|
