Rapaccini G L, Grattagliano A, Pompili M, Rabitti C, Anti M, Aliotta A, Amadei E, Cedrone A, Gambassi G
Istituto di Clinica Medica, Università Cattolica del Sacro Cuore, Policlinico A. Gemelli, Largo Agostino Gemelli, Rome, Italy.
Surg Endosc. 1990;4(4):206-8. doi: 10.1007/BF00316793.
The following parameters were retrospectively evaluated in 64 patients with suspected pancreatic neoplasm: (1) time required to obtain cytohistologic diagnosis, (2) days in hospital, (3) number and type of surgical operations, and (4) total hospital costs. Echo-guided fine needle biopsy (FNB) was performed on 34 patients (FNB group) and in a further 30 patients diagnostic workup did not include percutaneous biopsy (laparotomy group). Both diagnostic and hospital stay were shorter (8 and 7 days, respectively) in the FNB group than in the laparotomy group. In the FNB group, surgery was avoided in 18 patients, while in the laparotomy group 18 explorations proved diagnostic alone. Finally, FNB was shown to reduce hospital costs by 23%.
对64例疑似胰腺肿瘤患者的以下参数进行了回顾性评估:(1)获得细胞组织学诊断所需的时间;(2)住院天数;(3)外科手术的数量和类型;(4)总住院费用。对34例患者进行了超声引导下细针穿刺活检(FNB组),另外30例患者的诊断检查未包括经皮活检(剖腹手术组)。FNB组的诊断时间和住院时间均短于剖腹手术组(分别为8天和7天)。在FNB组中,18例患者避免了手术,而在剖腹手术组中,18次探查仅证明具有诊断意义。最后,结果显示FNB可使住院费用降低23%。