Conces D J, Clark S A, Tarver R D, Schwenk G R
Department of Radiology, Indiana University Hospital, Indianapolis 46223.
AJR Am J Roentgenol. 1989 Jan;152(1):31-4. doi: 10.2214/ajr.152.1.31.
We reviewed 441 transthoracic needle aspiration biopsies to evaluate the use of the procedure in the diagnosis of pulmonary infections. Sixty-seven (15%) of the biopsies were performed because pulmonary infection was suspected. In these 67 cases, a specific diagnosis was made in 45 (67%). In 46 cases in which infection was ultimately found to be present, aspiration biopsy identified the organism in 35 (76%). Overall, clinically useful information was obtained in 54 (81%) of the 67 biopsies performed for pulmonary infection. In 369 biopsies performed for suspected malignant neoplasm, pulmonary infection was diagnosed in 13. The only significant complication was pneumothorax, which occurred in 18% of the biopsies. Chest tube placement was required in 5% of the biopsies. We conclude that transthoracic aspiration needle biopsy is of value in the diagnosis of suspected pulmonary infections.
我们回顾了441例经胸针吸活检病例，以评估该操作在肺部感染诊断中的应用。其中67例（15%）活检是因为怀疑肺部感染而进行的。在这67例病例中，45例（67%）做出了明确诊断。在最终发现存在感染的46例病例中，针吸活检在35例（76%）中鉴定出了病原体。总体而言，在为肺部感染进行的67例活检中，54例（81%）获得了临床有用信息。在为疑似恶性肿瘤进行的369例活检中，诊断出13例肺部感染。唯一的严重并发症是气胸，在18%的活检中发生。5%的活检需要放置胸管。我们得出结论，经胸针吸活检在疑似肺部感染的诊断中具有价值。
