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肝活检针的对比试验。

A comparative trial of liver biopsy needles.

作者信息

Bateson M C, Hopwood D, Duguid H L, Bouchier I A

出版信息

J Clin Pathol. 1980 Feb;33(2):131-3. doi: 10.1136/jcp.33.2.131.

DOI:10.1136/jcp.33.2.131
PMID:6988462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1146006/
Abstract

A sheathed needle (Tru-Cut) was compared with a suction biopsy needle (Menghini) in a randomised prospective trial over 18 months to determine whether the former offered any special advantages in routine percutaneous liver biopsy. Seventy-seven consecutive biopsies were performed by a single operator. Although biopsy fragmentation was commoner with the suction needle, the length and volume of the largest core obtained was similar to results with the sheathed needle. Cytology provided useful additional information with the Menghini technique. The suction needle was repeatedly reusable and considerably cheaper than the sheathed needle, which may be used once only.

摘要

在一项为期18个月的随机前瞻性试验中,将套管针(Tru-Cut)与抽吸活检针(Menghini)进行了比较,以确定前者在常规经皮肝活检中是否具有任何特殊优势。由一名操作人员连续进行了77次活检。尽管使用抽吸针时活检组织破碎更为常见,但获得的最大组织条的长度和体积与套管针的结果相似。细胞学检查通过Menghini技术提供了有用的额外信息。抽吸针可反复使用,且比只能使用一次的套管针便宜得多。

相似文献

1
A comparative trial of liver biopsy needles.肝活检针的对比试验。
J Clin Pathol. 1980 Feb;33(2):131-3. doi: 10.1136/jcp.33.2.131.
2
Ultrasound-assisted percutaneous liver biopsy: superiority of the Tru-Cut over the Menghini needle for diagnosis of cirrhosis.超声引导下经皮肝穿刺活检:Tru-Cut针在诊断肝硬化方面优于Menghini针。
Gastroenterology. 1988 Aug;95(2):487-9. doi: 10.1016/0016-5085(88)90509-4.
3
Tru-cut and Menghini needles: different yield in the histological diagnosis of liver disease.
Liver. 1985 Jun;5(3):178-81. doi: 10.1111/j.1600-0676.1985.tb00234.x.
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A randomised study on the efficacy and safety of an automated Tru-Cut needle for percutaneous liver biopsy.一项关于自动Tru-Cut针经皮肝穿刺活检的有效性和安全性的随机研究。
Neth J Med. 2004 Dec;62(11):441-5.
5
Evaluation of a new fine needle technique in routine percutaneous liver biopsy.常规经皮肝穿刺活检中一种新型细针技术的评估
N Z Med J. 1990 Apr 25;103(888):184-6.
6
Comparison of the Menghini, Klatskin and Tru-Cut needles in diagnosing cirrhosis.
J Clin Gastroenterol. 1979 Sep;1(3):229-31. doi: 10.1097/00004836-197909000-00007.
7
[Prospective study comparing the results obtained by liver puncture biopsy with Chiba fine needle and Menghini needle in some tumors of the liver].[前瞻性研究:比较千叶细针与门基尼针肝穿刺活检在某些肝脏肿瘤中的结果]
Arq Gastroenterol. 1987 Jan-Mar;24(1):20-3.
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Prospective study of the incidence of ultrasound-detected hepatic hematomas due to percutaneous Menghini needle liver biopsy and laparoscopy-guided Silverman needle biopsy.经皮Menghini针肝活检和腹腔镜引导下Silverman针活检所致超声检测到的肝血肿发生率的前瞻性研究。
Ital J Gastroenterol. 1994 Sep;26(7):338-41.
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[Percutaneous liver biopsy: comparative study on the efficacy of and tolerance to the automatic tru-cut technique].[经皮肝穿刺活检:自动 Tru-cut 技术的疗效及耐受性对比研究]
An Med Interna. 1996 Sep;13(9):419-22.
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Transthoracic ultrasonography-guided core needle biopsy of pleural-based lung lesions: prospective randomized comparison between a Tru-cut-type needle and a modified Menghini-type needle.经胸超声引导下对胸膜下肺病变进行粗针穿刺活检:Tru-cut型针与改良Menghini型针的前瞻性随机比较。
Ultraschall Med. 2009 Aug;30(4):390-5. doi: 10.1055/s-0028-1109442. Epub 2009 Jun 18.

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J Clin Pathol. 1982 Jul;35(7):761-3. doi: 10.1136/jcp.35.7.761.
5
Morphometry of terminal hepatic veins. 1. Comparative study in man and baboon.终末肝静脉的形态测量学。1. 人与狒狒的比较研究。
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本文引用的文献

1
Liver biopsy with a needle of 0.7 MM outer diameter. Safety and quantitative yield.使用外径0.7毫米的针进行肝活检。安全性和定量取材量。
Acta Med Scand. 1970 Dec;188(6):471-4. doi: 10.1111/j.0954-6820.1970.tb08070.x.
2
One-second biopsy of the liver--problems of its clinical application.
N Engl J Med. 1970 Sep 10;283(11):582-5. doi: 10.1056/NEJM197009102831107.
3
Improved liver-biopsy needle.改良肝活检针。
Lancet. 1969 Dec 13;2(7633):1283. doi: 10.1016/s0140-6736(69)90814-9.
4
Some innovations in the technic of the one-second needle biopsy of the liver.肝脏一秒钟穿刺活检技术的一些创新。
Am J Gastroenterol. 1975 Sep;64(3):175-80.
5
Percutaneous aspiration liver biopsy using a large-caliber disposable needle: a preliminary report.
Am J Dig Dis. 1977 Dec;22(12):1109-14. doi: 10.1007/BF01072867.
6
Liver biopsy: complications in 1000 inpatients and outpatients.肝活检:1000例住院患者和门诊患者的并发症
Gastroenterology. 1978 Jan;74(1):103-6.
7
Percutaneous biopsy of the liver as a procedure for outpatients.经皮肝穿刺活检术用于门诊患者。
Gastroenterology. 1978 Jan;74(1):101-2.