Mark J B, Marglin S I, Castellino R A
J Thorac Cardiovasc Surg. 1978 Aug;76(2):266-8.
Sixty patients underwent flexible fiberoptic bronchoscopy and percutaneous needle aspiration of peripheral lung lesions with fluoroscopic monitoring. A single general anesthetic was used. We found that percutaneous needle aspiration was the more accurate of the two procedures in establishing a diagnosis but that flexible fiberoptic bronchoscopy proved complementary in some instances. The incidence of pneumothorax was 27% but aspiration was needed in only 8%. There were no other complications. In 84% of patients with primary carcinoma of the lung presenting as a peripheral lesion, the diagnosis was established by these procedures. The accuracy was less in metastatic lesions and considerably less in benign lesions.
60例患者在荧光镜监测下接受了可弯曲纤维支气管镜检查及经皮肺穿刺针吸术。采用单一全身麻醉。我们发现，在明确诊断方面，经皮肺穿刺针吸术在这两种操作中更为准确，但在某些情况下，可弯曲纤维支气管镜检查也起到了辅助作用。气胸发生率为27%，但仅8%的患者需要进行抽吸。未出现其他并发症。在84%以周围型病变表现的原发性肺癌患者中，通过这些操作得以确诊。在转移性病变中诊断准确性较低，在良性病变中则显著更低。
