Wilson J R, Jones R L, Mielke B, King E G
Can Med Assoc J. 1973 Mar 17;108(6):704-9.
Forty-five percutaneous trephine lung biopsies using the Steel apparatus were performed on 38 patients. Tissue was obtained on 42 occasions (94%) leading to histological or culture diagnosis in 33 patients (87%). Pneumothoraces (12 patients), bleeding into the airways or pleural space (4 patients), and tumour seeding along the needle track (1 patient) occurred in 38% of biopsy attempts (45% of patients). In contrast to the Vim-Silverman technique, the Steel trephine appears to produce a higher tissue yield and superior specimens for histological study. Trephine lung biopsy is comparable to open lung biopsy in providing positive diagnoses. With anticipation and expeditious management of complications, trephine lung biopsy is both safe and useful in the diagnosis of pulmonary disease.
对38例患者进行了45次使用Steel器械的经皮肺穿刺活检。42次（94%）获取了组织，33例患者（87%）据此获得了组织学或培养诊断。38%的活检尝试（45%的患者）出现了气胸（12例患者）、气道或胸腔内出血（4例患者）以及针道肿瘤种植（1例患者）。与Vim-Silverman技术相比，Steel穿刺针似乎能获得更高的组织取材率以及更优质的组织标本用于组织学研究。肺穿刺活检在做出阳性诊断方面与开胸肺活检相当。通过对并发症的预先评估和迅速处理，肺穿刺活检在肺部疾病诊断中既安全又有用。
