@文章{Tremblay108，作者= {Tremblay, A. and Michaud, G. and Urbanski, S. J.}，标题={热活检钳在支气管内病变诊断中的应用}，体积={29}，数量={1}，页={108—111}，年份= {2007}，doi ={10.1183/09031936.00071606}，出版商={欧洲呼吸学会}，摘要={电凝支气管镜活检钳可以预防出血，但也可能损害所获得标本的质量。188bet官网地址在支气管镜检查中出现支气管内病变的患者分别用热活检钳进行了6次支气管内活检，交替进行电凝({\textquotedblleft}热{\textquotedblright})和不进行电凝({\textquotedblleft}冷{\textquotedblright})。出血以1{\textendash}4的刻度进行量化，1表示无出血。发电机设置为{\textquotedblleft}软凝{\textquotedblright}模式，功率设置为40、60、80和100 W，每组10名患者依次使用。临床病理结果被记录，然后由第二盲肺病理学家复查样本。共有39例患者的40个支气管内病变进行了6次活检(1例患者仅采集了4个样本)，共获得238个活检样本。临床病理学家的热样本和冷样本的一致性为92.5%，盲病理学家的一致性为87%。配对分析显示使用热钳时平均出血评分较低。冷活检和热活检的总出血率分别为:1级:30.3%和41.2\%;二级:62.2和49.6\%; grade 3: 7.6 and 9.2\%; and grade 4: 0 and 0\%. In conclusion, the use of hot biopsy forceps for endobronchial biopsy does not appear to have a negative impact on the pathological samples. Hot biopsy forceps showed a statistically significant reduction in bleeding score, which is unlikely to be of clinical significance.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/29/1/108}, eprint = {//www.qdcxjkg.com/content/29/1/108.full.pdf}, journal = {European Respiratory Journal} }