Kachur A K, Shrainer I V, Lyadov V K
Vopr Onkol. 2016;62(5):676-679.
The aim of this study was to investigate and analyze the results of transthoracic needle biopsy of lung tumors under CT navigation. There were carried out more than 100 transthoracic needle biopsies of lung tumors. The analysis of immediate results of the applicability of this technique was performed. The average period of hospitalization after the puncture was 1.4 days (1-7). A number of pneumothorax that required drain- ing the pleural cavity was 8. The median of duration of drain- ing the pleural cavity was 6 of 8 patients (5-6.5) days. More severe complications and deaths were not. The histological conclusion was obtained in 100% of cases, in 72 patients the diagnosis of a malignant lung tumor was firstly verified, 12 cases showed a false-negative result. Diagnosis of lung cancer was excluded in 16 patients. The sensitivity of the method was 86%, specificity - 100% and accuracy - 88%. Therefore transthoracic needle biopsy of lung tumors with minimal risk to the patient allows receiving the morphological verification of peripheral lung tumors.
本研究的目的是调查和分析CT导航下经胸针吸活检肺肿瘤的结果。进行了100多例经胸针吸活检肺肿瘤。对该技术适用性的即时结果进行了分析。穿刺后的平均住院时间为1.4天（1 - 7天）。需要胸腔引流的气胸病例数为8例。8例患者胸腔引流持续时间的中位数为6天（5 - 6.5天）。未出现更严重的并发症和死亡情况。100%的病例获得了组织学结论，72例患者首先确诊为恶性肺肿瘤，12例显示假阴性结果。16例患者排除了肺癌诊断。该方法的敏感性为86%，特异性为100%，准确性为88%。因此，对患者风险最小的经胸针吸活检肺肿瘤可实现周围型肺肿瘤的形态学确诊。
