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影像引导下胸膜活检:即使积液很少也是一种有用的诊断工具。

Image guided biopsy of the pleura: a useful diagnostic tool even when fluid is minimal.

作者信息

Manu Mohan K, Prakashini Koteshwara, Mohapatra Aswini Kumar, Kudva Ranjini

机构信息

Department of Pulmonary Medicine, Kasturba Medical College Manipal, Manipal University, Manipal, Karnataka, India.

Department of Radiology and Imaging, Kasturba Medical College, Manipal, Karnataka, India.

出版信息

BMJ Case Rep. 2014 Jun 30;2014:bcr2013201754. doi: 10.1136/bcr-2013-201754.

DOI:10.1136/bcr-2013-201754
PMID:24980995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4078465/
Abstract

A man in his late thirties presented with left-sided chest pain, recurrent fever and cough. Radiographical study revealed left pleural effusion which on ultrasonic imaging was minimal and non-tappable. Image guided trucut pleural biopsy yielded pleural specimens which helped in confirming the diagnosis of tuberculosis.

摘要

一名35岁左右的男子出现左侧胸痛、反复发热和咳嗽症状。影像学检查显示左侧胸腔积液,超声成像显示积液量少且无法穿刺抽取。在影像引导下进行经皮胸膜活检,获取胸膜标本,这有助于确诊结核病。

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本文引用的文献

1
Pleural controversy: close needle pleural biopsy or thoracoscopy-which first?胸膜争议:细针胸膜活检还是胸腔镜检查——哪个为先?
Respirology. 2011 Jul;16(5):738-46. doi: 10.1111/j.1440-1843.2011.01973.x.
2
Investigation of a unilateral pleural effusion in adults: British Thoracic Society Pleural Disease Guideline 2010.成人单侧胸腔积液的调查:英国胸科学会2010年胸膜疾病指南
Thorax. 2010 Aug;65 Suppl 2:ii4-17. doi: 10.1136/thx.2010.136978.
3
Direct comparison of the diagnostic yield of ultrasound-assisted Abrams and Tru-Cut needle biopsies for pleural tuberculosis.超声引导下 Abrams 针与 Tru-Cut 针活检对胸膜结核的诊断效能直接比较。
Thorax. 2010 Oct;65(10):857-62. doi: 10.1136/thx.2009.125146. Epub 2009 Dec 8.
4
Diagnostic tools in tuberculous pleurisy: a direct comparative study.结核性胸膜炎的诊断工具:一项直接对比研究。
Eur Respir J. 2003 Oct;22(4):589-91. doi: 10.1183/09031936.03.00017103a.
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Percutaneous image-guided cutting needle biopsy of the pleura in the diagnosis of malignant mesothelioma.经皮影像引导下胸膜切割针活检在恶性间皮瘤诊断中的应用
Chest. 2001 Dec;120(6):1798-802. doi: 10.1378/chest.120.6.1798.
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Percutaneous image-guided cutting-needle biopsy of the pleura in the presence of a suspected malignant effusion.在怀疑存在恶性胸腔积液的情况下,在影像引导下经皮进行胸膜切割针活检。
Radiology. 2001 May;219(2):510-4. doi: 10.1148/radiology.219.2.r01ma07510.
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Malignant pleural mesothelioma: US-guided histologic core-needle biopsy.
Radiology. 1999 Jun;211(3):657-9. doi: 10.1148/radiology.211.3.r99jn03657.
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AJR Am J Roentgenol. 1985 Mar;144(3):513-28. doi: 10.2214/ajr.144.3.513.
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Comparison of the Tru-cut biopsy needle with the Abrams punch for pleural biopsy.Tru-cut活检针与Abrams穿刺器用于胸膜活检的比较。
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