Jackson R, Coffin L H, DeMeules J E, Miller D B, Dietrich P, Fairbank J
Am J Surg. 1980 Apr;139(4):586-90. doi: 10.1016/0002-9610(80)90342-6.
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.
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。