超声引导下艾布拉姆斯胸膜活检与CT引导下切割针胸膜活检在恶性胸膜疾病中的应用：一项3年随访研究
Ultrasound-Guided Abrams Pleural Biopsy vs CT-Guided Tru-Cut Pleural Biopsy in Malignant Pleural Disease, a 3-Year Follow-up Study.
作者信息
Sivakumar Parthipan, Jayaram Deepak, Rao Deepak, Dhileepan Vignesh, Ahmed Irfan, Ahmed Liju
机构信息
Kings College London, London, WC2R 2LS, UK.
East Surrey Hospital, Redhill, RH1 5RH, UK.
出版信息
Lung. 2016 Dec;194(6):911-916. doi: 10.1007/s00408-016-9933-9. Epub 2016 Aug 19.
PURPOSE
Conventional Abrams biopsy shows low sensitivity in suspected malignant pleural disease. There are limited data on the improvement in sensitivity by adding in image guidance. This retrospective study compares the diagnostic sensitivity of Abrams biopsy using ultrasound guidance with CT-guided Tru-Cut biopsy in suspected malignant pleural disease.
METHODS
Data were collected from 2006 to 2012 of patients who underwent image-guided biopsies for suspected non-tuberculous pleural disease. Data were collected on the result of the initial biopsy and final patient diagnosis as of June 2015.
RESULTS
Sixty-three patients underwent image-guided Abrams biopsy and 29 underwent CT-guided Tru-Cut biopsies. The sensitivity of Abrams was 71.43 % compared to 75 % in the CT-guided Tru-Cut group. Specificity was 100 % in both groups.
CONCLUSIONS
Image-guided Abrams biopsies demonstrate comparable diagnostic sensitivity in malignant pleural disease to CT-guided Tru-Cut biopsy.
目的
传统的 Abrams 活检在疑似恶性胸膜疾病中显示出较低的敏感性。关于通过添加图像引导提高敏感性的数据有限。这项回顾性研究比较了在疑似恶性胸膜疾病中，超声引导下的 Abrams 活检与 CT 引导下的 Tru-Cut 活检的诊断敏感性。
方法
收集 2006 年至 2012 年因疑似非结核性胸膜疾病接受图像引导活检的患者数据。收集初始活检结果和截至 2015 年 6 月的最终患者诊断数据。
结果
63 例患者接受了图像引导的 Abrams 活检，29 例接受了 CT 引导的 Tru-Cut 活检。Abrams 活检的敏感性为 71.43%，而 CT 引导的 Tru-Cut 组为 75%。两组的特异性均为 100%。
结论
图像引导的 Abrams 活检在恶性胸膜疾病中的诊断敏感性与 CT 引导的 Tru-Cut 活检相当。
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