McLeod D T, Ternouth I, Nkanza N
Department of Medicine, Godfrey Huggins School of Medicine, University of Zimbabwe, Harare.
Thorax. 1989 Oct;44(10):794-6. doi: 10.1136/thx.44.10.794.
In a prospective study pleural biopsy specimens obtained with a Tru-cut needle were compared with those obtained with an Abrams pleural biopsy punch from 36 patients in Zimbabwe judged to have an effusion of at least 1.5 litres; one patient had two biopsies. Both instruments were used on each patient, the Abrams punch being followed by the Tru-cut needle. There were no serious complications. The diagnoses determined by biopsy were: tuberculosis (11); carcinoma (12); chronic inflammation (9); and pleural fibrosis (4); one biopsy showed nothing abnormal. In 23 (62%) patients both biopsy needles produced adequate diagnostic material; in eight the Tru-cut needle alone produced diagnostic material and in six the Abrams punch alone. Thus diagnostic material was obtained in 31 patients from the Tru-cut needle and in 29 from the Abrams punch. The Tru-cut needle was useful and safe for pleural biopsy in this series and appeared to be particularly useful when the pleura was thickened.
在一项前瞻性研究中，对津巴布韦36例胸腔积液至少1.5升的患者，比较了用Tru-cut针获取的胸膜活检标本与用Abrams胸膜活检穿刺器获取的标本；1例患者接受了两次活检。两种器械均用于每位患者，先用Abrams穿刺器，再用Tru-cut针。未发生严重并发症。活检确定的诊断结果为：结核病（11例）；癌（12例）；慢性炎症（9例）；胸膜纤维化（4例）；1例活检未显示异常。23例（62%）患者两种活检针均获取了足够的诊断材料；8例仅Tru-cut针获取了诊断材料，6例仅Abrams穿刺器获取了诊断材料。因此，Tru-cut针在31例患者中获取了诊断材料，Abrams穿刺器在29例患者中获取了诊断材料。在该系列研究中，Tru-cut针用于胸膜活检既有用又安全，在胸膜增厚时似乎特别有用。
