Zsiray M, Appel J, Lantos A, Szondy K
Pulmonológiai Klinika, Semmelweis Orvostudományi Egyetem, Budapest.
Orv Hetil. 1993 Nov 14;134(46):2531-5.
A total of 171 pleural needle biopsies were carried out in 123 patients with pleural effusion. The sensitivity of the method proved to be 51% for malignant diseases and 75% for tuberculotic pleurisy, respectively. Performing biopsy simultaneously with the cytological examination of the pleural fluid, malignancy was proved only by needle biopsy in 20% of the patients, while cytology was found negative in these cases. Simultaneously performed thoracocentesis and pleural needle biopsy is suggested.
对123例胸腔积液患者共进行了171次胸膜针刺活检。该方法对恶性疾病的敏感性为51%,对结核性胸膜炎的敏感性为75%。在进行胸腔积液细胞学检查的同时进行活检,20%的患者仅通过针刺活检证实为恶性肿瘤,而这些病例的细胞学检查结果为阴性。建议同时进行胸腔穿刺术和胸膜针刺活检。