Feuerbach S, Gmeinwieser J, Gerhardt P, Gössner W, Rotter M, Gossmann A
Institut für Röntgendiagnostik, Technische Universität München, Klinikum rechts der Isar.
Rofo. 1989 Jul;151(1):4-9. doi: 10.1055/s-2008-1047120.
Percutaneous CT-guided biopsies were carried out in 350 patients; on 291 occasions, 14- or 18-gauge and, on 59 occasions, an 0.95 mm cutting biopsy cannula was employed. Using the 14- and 18-gauge needles, a histological diagnosis was possible in 191 cases, a sensitivity of 82.7%. The 0.95 mm cannulas proved successful in 39 of the 59 punctures, producing a markedly lower sensitivity of 66.2%. The most common cause of an incorrect biopsy with large needles was bad position of the needle, whereas the small needles provided inadequate material. Complications which, however, did not require treatment, occurred in 5 patients (1.4%).
对350例患者进行了CT引导下经皮活检;291次使用14号或18号穿刺针,59次使用0.95mm切割活检针。使用14号和18号穿刺针时,191例获得组织学诊断,敏感性为82.7%。59次穿刺中,0.95mm活检针成功39次,敏感性明显较低,为66.2%。大针活检错误的最常见原因是穿刺针位置不佳,而小针获取的材料不足。5例患者(1.4%)出现了无需治疗的并发症。