Wilkinson A G, Paton J Y, Gibson N, Howatson A G
Radiology Department, Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.
Pediatr Radiol. 1999 Jul;29(7):514-6. doi: 10.1007/s002470050633.
CT-guided percutaneous lung biopsy was performed in children with chronic respiratory disease to obtain samples for histological examination. An automatic cutting device with a 14-G needle was used with one or two cores obtained in each procedure. Seven procedures were performed in six children, mostly with local anaesthesia. Adequate tissue was obtained in all cases. Although a small pneumothorax and/or haemothorax occurred in most procedures, these were usually visible only on CT and did not require active management. A larger pneumothorax in one child also resolved with conservative management. Percutaneous CT-guided 14-G automatic cutting-needle biopsy of lung parenchyma in children is a minimally invasive alternative to open-lung biopsy with no complications in our series.
对患有慢性呼吸道疾病的儿童进行CT引导下经皮肺活检，以获取样本进行组织学检查。使用带有14G针的自动切割装置，每次操作获取一到两条组织芯。对6名儿童进行了7次操作，大多采用局部麻醉。所有病例均获得了足够的组织。虽然大多数操作中出现了小气胸和/或血胸，但这些通常仅在CT上可见，无需积极处理。1名儿童出现的较大气胸也通过保守治疗得到缓解。在我们的系列研究中，CT引导下经皮14G自动切割针肺实质活检是一种微创的替代开胸肺活检的方法，且无并发症发生。
