Klein J S
Department of Radiology, University of Vermont College of Medicine, Burlington, USA.
Clin Chest Med. 1999 Dec;20(4):805-26, ix. doi: 10.1016/s0272-5231(05)70256-2.
Transthoracic needle biopsy (TNB) has become the diagnostic procedure of choice in evaluation of focal chest lesions. Both advances in cross-sectional image guidance and cytopathologic techniques allow TNB to accurately diagnose malignancy and characterize a spectrum of benign conditions. Image-guided percutaneous drainage of intrathoracic collections has developed as an extension of similar procedures in the abdomen and pelvis. The ability of CT and ultrasound to accurately detect and characterize parenchymal and pleural collections, and advances in interventional techniques and catheter design, have made percutaneous catheter drainage the treatment of choice for a variety of intrathoracic collections. This article provides an updated review of the spectrum of image-guided diagnostic and therapeutic procedures in the thorax.
经胸针吸活检（TNB）已成为评估胸部局灶性病变的首选诊断方法。横断面图像引导技术和细胞病理学技术的进步使TNB能够准确诊断恶性肿瘤并鉴别一系列良性疾病。影像引导下经皮胸腔积液引流术是腹部和盆腔类似操作的延伸。CT和超声准确检测和鉴别实质及胸膜腔积液的能力，以及介入技术和导管设计的进步，使经皮导管引流成为多种胸腔积液的首选治疗方法。本文对胸部影像引导下诊断和治疗方法的范围进行了最新综述。
