胸膜针刺活检在胸腔积液诊断中的应用
Needle biopsy of the pleura in the diagnosis of pleural effusion.
作者信息
McAleer J J, Murphy G J, Quinn R J
出版信息
Ulster Med J. 1987 Apr;56(1):54-7.
Abstract
Needle biopsy of the parietal pleura was undertaken in 64 patients with undiagnosed pleural effusion. An adequate specimen was obtained in 96% of procedures. This was diagnostic in 45% of those due to malignancy and in 50% of those due to tuberculosis. A second biopsy improved the combined diagnostic yield in these two diseases from 32% to 46%. Pleural fluid cytology was unhelpful in establishing the presence of a malignancy, and culture of the biopsy specimen was helpful in one case.
摘要
对64例不明原因胸腔积液患者进行了壁层胸膜针吸活检。96%的操作获取了足够的标本。其中，因恶性肿瘤导致胸腔积液的患者中，45%的标本具有诊断价值；因结核病导致胸腔积液的患者中，50%的标本具有诊断价值。二次活检使这两种疾病的联合诊断率从32%提高到46%。胸腔积液细胞学检查对确定恶性肿瘤的存在没有帮助，活检标本培养仅在1例中发挥了作用。
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