Boe J, Arve J, Johansson S
Eur J Respir Dis. 1987 Aug;71(2):108-12.
We compared samples obtained using a fine-needle with those made using a screw-needle (Rotex) of equal diameter in 28 patients. The biopsies were performed with the aid of computed tomography. All patients had lesions suggesting primary lung neoplasia or metastatic disease located in the lung parenchyma, pleura and in the ribs (17, 9 and 2 patients, respectively). Diagnostic material was obtained from 25 patients. There was no statistically significant difference in the yield of diagnostic material produced by the two procedures. Malignancy was found in 12 patients. Pneumothorax was the most common complication, occurring in 7 patients. CT-guided diagnostic needle biopsies have high diagnostic accuracy and a low complication rate. The diagnostic yield of the fine-needle and the screw-needle is equal.
我们对28例患者使用细针获取的样本与使用等直径螺旋针（Rotex）获取的样本进行了比较。活检在计算机断层扫描辅助下进行。所有患者的病变提示原发性肺肿瘤或位于肺实质、胸膜和肋骨的转移性疾病（分别为17例、9例和2例患者）。从25例患者中获取了诊断材料。两种操作所产生的诊断材料产量在统计学上无显著差异。12例患者发现有恶性肿瘤。气胸是最常见的并发症，7例患者出现气胸。CT引导下诊断性针吸活检具有较高的诊断准确性和较低的并发症发生率。细针和螺旋针的诊断产量相同。
