Dmitriev A E, Golubkov V A, Nudnov N V, Vavilov S B, Kutín G K, Kosheleva N V, Laguta E Ia
Khirurgiia (Mosk). 1993 Apr(4):67-70.
Invasive interventions (diagnostic and therapeutic) were conducted on 125 patients. Fifty-six has diseases of the lungs, 16 of the mediastinum, 4 of the pleura, 17 of the liver, 2 of the pancreas, one of the spleen, 15 of the kidneys, 7 of the retroperineal space, two of the soft tissues, and 5 patients had diseases of the skeletal bones. Biopsy was combined with aspiration of the renal cyst content in 7 cases. The diagnostic value of biopsy under control of CT was 86% (106 cases); negative and pseudonegative results were recorded in 18 (14%) patients. The efficacy of biopsy is determined by such factors as the size of the lesion and the depth of its localization in the involved organ, the character of the pathological process and the region of its localization, the site from which the material is collected, and the needles used. Among 7 patients with therapeutic interventions, 5 had good and 2 had satisfactory immediate results. Complications were revealed in 4 (3.3%) patients, pneumothorax was encountered most frequently.
对125例患者进行了侵入性干预（诊断性和治疗性）。其中56例患有肺部疾病，16例患有纵隔疾病，4例患有胸膜疾病，17例患有肝脏疾病，2例患有胰腺疾病，1例患有脾脏疾病，15例患有肾脏疾病，7例患有会阴后间隙疾病，2例患有软组织疾病，5例患有骨骼疾病。7例患者的活检与肾囊肿内容物抽吸相结合。CT引导下活检的诊断价值为86%（106例）；18例（14%）患者出现阴性和假阴性结果。活检的疗效取决于病变大小、病变在受累器官中的定位深度、病理过程的特征及其定位区域、取材部位以及所使用的针具等因素。在7例接受治疗性干预的患者中，5例效果良好，2例近期效果满意。4例（3.3%）患者出现并发症，最常见的是气胸。
