Weiss H, Düntsch U, Weiss A
St. Marienkrankenhaus Ludwigshafen.
Ultraschall Med. 1988 Jun;9(3):121-7. doi: 10.1055/s-2007-1011609.
The rate of complications in fine needle puncture was ascertained by an inquiry conducted among the members of the German Association of Ultrasound in Medicine (DEGUM). 337 complications had been registered in a total of 66,397 punctures, corresponding to a percentage of only 0.51%. 294 of these were mild, i.e. not requiring therapy (0.44%), 38 severe (0.057%) and 5 complications were fatal and resulted in death (0.0075%). Differences were slight in respect of the frequency of complications with reference to puncture technique and type of needle employed. Most complications were seen in fine needle puncture for obtaining histological material (0.67%) (cutting biopsy needles), compared with 0.54% in therapeutic puncture and 0.46% for obtaining cytological material. Among the puncture techniques, the use of a puncture transducer resulted in more complications (0.72%) compared with sonographically guided puncture (0.59%) and puncture in full view with 0.43%. Punctures with/fatal outcome had been conducted in 4 out 5 cases with so-called cutting biopsy needles. Results are identical with those obtained in the U.S.A. on a comparative basis. Compared with punctures with so-called coarse needles, fine needle puncture results in fewer complications on account of the smaller needle caliber. As with every intensive method, however, complications must be taken into account even with fine needle puncture.
通过对德国医学超声协会（DEGUM）成员进行的一项调查，确定了细针穿刺的并发症发生率。在总共66397次穿刺中记录了337例并发症，仅占0.51%。其中294例为轻度并发症，即无需治疗（0.44%），38例为严重并发症（0.057%），5例并发症导致死亡（0.0075%）。就穿刺技术和所用针的类型而言，并发症发生频率的差异不大。大多数并发症见于获取组织学材料的细针穿刺（0.67%）（切割活检针），相比之下，治疗性穿刺为0.54%，获取细胞学材料为0.46%。在穿刺技术中，使用穿刺探头导致的并发症更多（0.72%），相比之下，超声引导穿刺为0.59%，直视下穿刺为0.43%。5例死亡病例中有4例使用了所谓的切割活检针。在比较的基础上，所得结果与美国的结果相同。与使用所谓粗针的穿刺相比，细针穿刺由于针口径较小，并发症较少。然而，与每种强化方法一样，即使是细针穿刺也必须考虑到并发症。
