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湖北省组建远程病理会诊中心 铺就病理“天网”揪出癌魔

2017-08-13 11:42:00   中国青年网

人民网潜江8月13日电 8月12日上午,在武汉大学人民医院潜江医院(潜江市中心医院)八楼手术室,一台乳腺肿块手术正在紧张进行。手术医师很快切除了肿块,决定暂停手术半小时,等待病理诊断结果,并以此为依据实施下一步的手术方案;与此同时,在病理科,技术员迅速将送来的肿块组织制成冰冻切片,经过高清病理扫描仪数字化后,病理图像实时传输给远在150公里外的武汉大学人民医院病理会诊中心。会诊专家阅片3分钟后,马上给出病理诊断:乳腺浸润性癌。手术医师根据这一诊断,随即为患者进行乳腺癌根治术。

而以往,在基层医院,患者乳腺包块被切除后,手术即宣告完成;经过5-7天漫长等待,病理诊断结果如为恶性肿瘤,会择期进行第二次手术,被称为“二进宫”。如今,在武汉大学人民医院远程病理会诊中心,借助互联网+技术,三甲医院的病理专家足不出户可以为医联体协作医院提供术中冰冻快速病理诊断服务,让患者彻底摆脱“二进宫”的恶梦。

8月12日,湖北省首个以县级医院为组建单位、以互联网+术中冰冻切片诊断为特色的远程病理会诊中心——武汉大学人民医院远程病理会诊中心正式成立。该院现已与湖北、河南的14家基层医院签约进行远程病理会诊服务。随着该远程病理会诊网络的搭建,基层医院的疑难杂症今后可以通过远程会诊,让省城大医院病理科专家帮忙答疑解惑,实现优质病理医师资源共享。

“这种远程病理会诊,真正为我们医院解决了大问题。”武汉大学人民医院潜江医院(潜江中心医院)院长沈涤非由衷地感叹。

在医学领域,有个特殊专业——病理学:病理学为医学之本。病理医生是临床医生的“指挥官”——对于性质不清的病变组织,手术医生需根据病理结果,来决定手术台上处理患者的下一个步骤;内科医生则要根据病理结果,决定后续治疗方案。

以乳腺肿瘤患者为例,如果一台乳腺肿块切除术中,病理医生快速冰冻切片诊断报告是良性纤维腺瘤,则可宣告手术结束;如报告为乳腺癌,就需要进一步扩大手术范围,切除整个乳房及清扫腋窝淋巴结。

“病理诊断是一门经验学科,需要大量的阅片积累经验。培养一个合格的病理医生,一般需要10年甚至更长时间。”武汉大学人民医院病理科主任袁静萍介绍,由于病理医生培养周期长,基层医院的病理医生严重不足,能独立承担术中冰冻快速病理诊断的专家更是凤毛麟角。

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