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肺部病变的经皮针吸活检

Percutaneous needle biopsy of pulmonary lesions.

作者信息

Jackson R, Coffin L H, DeMeules J E, Miller D B, Dietrich P, Fairbank J

出版信息

Am J Surg. 1980 Apr;139(4):586-90. doi: 10.1016/0002-9610(80)90342-6.

DOI:10.1016/0002-9610(80)90342-6
PMID:6245597
Abstract

Percutaneous needle biopsy of lung lesions has proved useful in the diagnosis of tumors and infectious lesions of the lung. Accurate tissue diagnosis of tumors was obtained in 81 percent of attempts, and an accurate microbiologic diagnosis was obtained in 75 percent of infectious lesions. Eleven percent (23 of 213) of patients biopsied for tumor were spared diagnostic thoracotomy, and only one biopsy gave a false-positive result. There has been no mortality, and the only significant morbidity was a 12 percent incidence of pneumothorax necessitating chest tube insertion. The use of this technique in varied clinical settings has made it a valuable and often primary diagnostic tool for lung lesions.

摘要

经皮肺穿刺活检已被证明在诊断肺部肿瘤和感染性病变方面很有用。在81%的尝试中获得了肿瘤的准确组织诊断,在75%的感染性病变中获得了准确的微生物学诊断。因肿瘤接受活检的患者中有11%(213例中的23例)避免了诊断性开胸手术,只有一次活检结果为假阳性。没有死亡病例,唯一显著的并发症是气胸发生率为12%,需要插入胸管。在各种临床环境中使用这项技术使其成为诊断肺部病变的一种有价值且常常是主要的诊断工具。

相似文献

1
Percutaneous needle biopsy of pulmonary lesions.肺部病变的经皮针吸活检
Am J Surg. 1980 Apr;139(4):586-90. doi: 10.1016/0002-9610(80)90342-6.
2
Intraoperative fine-needle aspiration and rapid diagnosis of thoracic lesions.术中细针穿刺及胸部病变的快速诊断
Appl Pathol. 1986;4(3):125-31.
3
[Fluoroscopically guided percutaneous fine-needle biopsy of the lung using the ROTEX needle: results in 890 patients with focal lung lesions].[使用ROTEX针在透视引导下经皮肺细针穿刺活检:890例肺局灶性病变患者的结果]
Rofo. 1994 Dec;161(6):505-11. doi: 10.1055/s-2008-1032577.
4
Percutaneous transthoracic aspiration needle biopsy.经皮经胸穿刺针吸活检
Ann Thorac Surg. 1978 Nov;26(5):399-405. doi: 10.1016/s0003-4975(10)62917-7.
5
Percutaneous needle aspiration lung biopsy.经皮针吸肺活检
Clin Bull. 1974;4(2):63-8.
6
[CT-guided transthoracic needle aspiration of solitary lung lesions. Personal experience in 118 cases].[CT引导下经胸针吸活检孤立性肺病变。118例个人经验]
Radiol Med. 1995 Mar;89(3):287-94.
7
[The value of needle biopsy in the diagnosis of pulmonary diseases].[针吸活检在肺部疾病诊断中的价值]
Duodecim. 1974;90(5):342-7.
8
Nonaspiration-needle smear preparations of pulmonary lesions. A comparison of cytology and histology.肺部病变的非抽吸针涂片制备。细胞学与组织学的比较。
Acta Cytol. 1985 Nov-Dec;29(6):1047-52.
9
Sensitivity and specificity of needle biopsy in lung malignancy.
Am Rev Respir Dis. 1980 Nov;122(5):725-9. doi: 10.1164/arrd.1980.122.5.725.
10
Direct percutaneous needle aspiration of localized pulmonary lesions: result in 422 patients.
Radiology. 1980 Oct;137(1 Pt 1):31-5. doi: 10.1148/radiology.137.1.7422857.

引用本文的文献

1
Granulomatous inflammation and organizing pneumonia: Role of computed tomography-guided lung fine needle aspirations, touch preparations and core biopsies in the evaluation of common non-neoplastic diagnoses.肉芽肿性炎症与机化性肺炎:计算机断层扫描引导下肺细针穿刺抽吸、涂片及芯针活检在常见非肿瘤性诊断评估中的作用
Cytojournal. 2014 Jan 31;11:2. doi: 10.4103/1742-6413.126223. eCollection 2014.