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心内膜心肌活检诊断价值的批判性评估。心脏活检评估。

Critical assessment of diagnostic value of endomyocardial biopsy. Assessment of cardiac biopsy.

作者信息

MacKay E H, Littler W A, Sleight P

出版信息

Br Heart J. 1978 Jan;40(1):69-78. doi: 10.1136/hrt.40.1.69.

DOI:10.1136/hrt.40.1.69
PMID:626666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481977/
Abstract

Right or left ventricular endomyocardial biopsy with the Konno or the Olympus bioptome was attempted in 73 patients aged 5 months to 61 years, with 82 per cent success. Light and electron microscopy showed non-specific features in over half the biopsies with new or diagnostically useful information in only 10 per cent of cases, usually as a result of electron microscopy. The method is safe but is of strictly limited diagnostic value and is likely to be of most help as a research tool in the biochemical study of cardiomyopathies.

摘要

我们使用Konno活检钳或奥林巴斯活检钳对73例年龄在5个月至61岁的患者进行了右心室或左心室心内膜活检,成功率为82%。光镜和电镜检查显示,超过半数的活检标本呈现非特异性特征,只有10%的病例获得了新的或具有诊断价值的信息,这些信息通常来自电镜检查。该方法安全,但诊断价值极为有限,作为心肌病生化研究的一种研究工具可能最有帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/df61a188af18/brheartj00215-0087-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/cf0e91ddd349/brheartj00215-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/f7688af67cc7/brheartj00215-0084-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/03fdd8411b89/brheartj00215-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/df61a188af18/brheartj00215-0087-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/cf0e91ddd349/brheartj00215-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/f7688af67cc7/brheartj00215-0084-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/03fdd8411b89/brheartj00215-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95fd/481977/df61a188af18/brheartj00215-0087-a.jpg

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Ultrastructural artefacts in biopsied normal myocardium and their relevance to myocardial biopsy in man.活检正常心肌中的超微结构伪像及其与人体心肌活检的相关性。
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The quantitative elution of nitro-blue formazan from tissue sections.从组织切片中对硝基蓝四氮唑的定量洗脱。
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Catheter biopsy of the heart.心脏导管活检。
Radiol Clin North Am. 1971 Dec;9(3):491-510.
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