Morgenroth A, Pfeuffer H P, Austgen M, Viereck H J, Trendelenburg F
Klinik Michelsberg, Münnerstadt, Federal German Republic.
Thorax. 1989 Mar;44(3):177-83. doi: 10.1136/thx.44.3.177.
Six years' experience of percutaneous core needle biopsy using the Hausser needle in 502 patients, aged 20-89 years, is reported. A biopsy was carried out when sputum and bronchoscopic methods had failed to establish a definitive histological diagnosis. Over 60% of the lesions were peripheral and about 40% were 2-4 cm in diameter. A correct diagnosis was made by this means in 312 of the 339 patients shown eventually to have a malignant lesion (92%) and in 130 of 146 patients with a benign lesion (89%). A definitive diagnosis was never established in 17 patients. Complications arose in 15% of cases. Pneumothorax occurred in 43 patients (7%), of whom 12 required a chest drain. Further complications included a small haemoptysis (less than 30 ml) in 27 patients (5%), haemothorax necessitating a chest drain in three patients, and an intrapulmonary haematoma in five patients. There were no fatal or permanent complications. Percutaneous core needle biopsy is a valuable procedure with a high diagnostic accuracy in these patients and a low rate of complications.
报告了对502名年龄在20至89岁的患者使用豪泽针进行经皮芯针活检的六年经验。当痰液和支气管镜检查方法未能确立明确的组织学诊断时，进行活检。超过60%的病变位于周边，约40%的病变直径为2至4厘米。在最终显示为恶性病变的339名患者中，有312名（92%）通过这种方法做出了正确诊断；在146名良性病变患者中，有130名（89%）做出了明确诊断。17名患者从未确立明确诊断。15%的病例出现并发症。43名患者（7%）发生气胸，其中12名需要胸腔引流。其他并发症包括27名患者（5%）出现少量咯血（少于30毫升），3名患者因血胸需要胸腔引流，5名患者出现肺内血肿。没有致命或永久性并发症。经皮芯针活检是一项有价值的操作，对这些患者诊断准确性高，并发症发生率低。
