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闭式胸膜活检的时代结束了吗?是的。

Are the days of closed pleural biopsy over? Yes.

作者信息

Patel Dharmesh

机构信息

City Clinic and Bhailal Amin General Hospital, Vadodara, Gujarat, India.

出版信息

Lung India. 2015 Nov-Dec;32(6):638-40. doi: 10.4103/0970-2113.168114.

DOI:10.4103/0970-2113.168114
PMID:26664178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4663875/
Abstract

In the modern management of pleural diseases, thoracoscopy has a clear advantage over closed pleural biopsy. By way of its high yield, both in malignant pleural disease and pleural Tuberculosis - the two commonest cause of undiagnosed pleural effusion, thoracoscopy has the added advantage of faster symptom relief and offering effective pleurodesis. This makes it an attractive diagnostic and therapeutic procedure of choice and features high in the algorithms of many international guidelines on the approach to pleural diseases.

摘要

在胸膜疾病的现代管理中,胸腔镜检查相对于闭式胸膜活检具有明显优势。由于其在恶性胸膜疾病和胸膜结核(未确诊胸腔积液的两个最常见原因)中具有较高的诊断率,胸腔镜检查还具有能更快缓解症状并提供有效的胸膜固定术的优势。这使其成为一种有吸引力的诊断和治疗选择方法,在许多关于胸膜疾病诊治方法的国际指南中都占据重要地位。

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1
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本文引用的文献

1
Role of medical thoracoscopy and closed-blind pleural biopsy in undiagnosed exudative pleural effusions: a single-center experience of 348 patients.内科胸腔镜检查及闭式盲检胸膜活检在不明原因渗出性胸腔积液中的作用:348例患者的单中心经验
J Bronchology Interv Pulmonol. 2015 Apr;22(2):121-9. doi: 10.1097/LBR.0000000000000145.
2
Performance of Xpert MTB/RIF on pleural tissue for the diagnosis of pleural tuberculosis.Xpert MTB/RIF在胸膜组织上用于诊断胸膜结核的性能。
Eur Respir J. 2013 Nov;42(5):1427-9. doi: 10.1183/09031936.00103213. Epub 2013 Jul 30.
3
Image-guided pleural biopsy.影像引导下胸膜活检。
Curr Opin Pulm Med. 2013 Jul;19(4):368-73. doi: 10.1097/MCP.0b013e32835f4c23.
4
Screening for lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines.肺癌筛查:肺癌的诊断与管理,第 3 版:美国胸科医师学会循证临床实践指南。
Chest. 2013 May;143(5 Suppl):e78S-e92S. doi: 10.1378/chest.12-2350.
5
Role of percutaneous closed needle pleural biopsy among patients of undiagnosed exudative pleural effusion.经皮闭合针吸胸膜活检在不明原因渗出性胸腔积液患者中的作用。
Lung India. 2011 Apr;28(2):101-4. doi: 10.4103/0970-2113.80319.
6
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.
7
Local anaesthetic thoracoscopy: British Thoracic Society Pleural Disease Guideline 2010.局部麻醉胸腔镜检查:英国胸科学会胸膜疾病指南2010版
Thorax. 2010 Aug;65 Suppl 2:ii54-60. doi: 10.1136/thx.2010.137018.
8
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.
9
Evaluation of the diagnostic yield and safety of closed pleural biopsy in the diagnosis of pleural effusion.闭合性胸膜活检在胸腔积液诊断中的诊断率及安全性评估。
Indian J Tuberc. 2010 Jan;57(1):19-24.
10
Medical thoracoscopy vs CT scan-guided Abrams pleural needle biopsy for diagnosis of patients with pleural effusions: a randomized, controlled trial.内科胸腔镜与 CT 引导下 Abrams 胸膜活检针用于胸腔积液患者诊断的比较:一项随机对照试验。
Chest. 2010 Jun;137(6):1362-8. doi: 10.1378/chest.09-0884. Epub 2010 Feb 12.