從臨床到文章課件

1、From Bench to Bed,From bed to manuscript Xuanli Xu,尋找課題：,對臨床中用現(xiàn)有的理論無法解釋的現(xiàn)象對臨床中不能解決的問題解決不滿意的問題,尋找課題：,小問題：某一疾病的診斷、治療、預后的某一小問題改進,肺小結節(jié)術前CT引導下Hook-wire定位,,,近4年浙一醫(yī)院呼吸內科開展此項技術，共有161例患者(168小結節(jié))于

2、術前CT引導下行Hook-wire定位。,,Hook-wire：德國寶雅醫(yī)療（Pajunk GmbH Mediziintechnologie）Medical Device Technologies, Inc. (21 G/10 CM) (Gainesville, USA). 規(guī)格20 G×100 mm,記錄數(shù)據(jù):,年齡，性別，腫瘤病史，抽煙，CEA病灶部位，大小，個數(shù)，性狀放置hook-wire并發(fā)癥：氣胸，血胸

3、，咯血，胸膜反應等小結節(jié)的CT影像,,,,,,From January 2010 to May 2014,161例患者，共168個病灶（7例為雙發(fā)） 男性63例，女性98例28 ~ 76歲，平均年齡為53.2歲,查閱文獻,,European Journal of Cardio-thoracic Surgery 30 (2006) 160—163,關注純GGO病灶，分析臨床病理特征，,BAC lesions are more

4、frequently palpable than AAH lesions.,小亮點！,,European Journal of Cardio-thoracic Surgery 36 (2009) 378—382,關注hook-wire后I期肺癌的預后和8例鉤子術中丟失事件。,Ann Thorac Surg 2013;96:1203–8,關注有效率和并發(fā)癥; 500例,122肺部GGO病灶的病理學分析,Table 1 Clinical

5、characteristics of pulmonary nodules of different histological diagnoses,,,,,Table 2 Size distribution and G/T ratio of subsolid nodules,,Fig 1 High-resolution computed tomography of pulmonary nodules,(A) Hook-wire throu

6、gh the nodule. (B) Exploration of the nodule by the hook wire localization.,Fig 3 Pathologic distribution of different density nodule on CT,Ann Thorac Surg (胸外科年鑒),,,Reviewer : Comments for the Author...,類推：,,EBUS下縱膈淋巴結的