Madan A, van Rooij W J, Verpalen M C
Department of Radiology, St. Elisabeth Hospital, Tilburg, The Netherlands.
Rofo. 1994 Jan;160(1):75-7. doi: 10.1055/s-2008-1032376.
50 patients with thoracic lesions were selected for percutaneous biopsy guided by real-time sonography. The indications were pulmonary, pleural and mediastinal lesions which made contact with the chest wall and sonographically accessible. Included were lesions near vital structures in the mediastinum (n = 3), in the apex of the lung (n = 8), small pulmonary nodules in contact with the chest wall (n = 24), lesions with intervening pleural fluid (n = 2), pleural nodules (n = 9) and masses arising from the chest wall itself (n = 4). A definitive diagnosis was established in 38 of the 45 (84.4%) malignant lesions and in 4 of the 5 (80%) benign lesions. Complications were restricted to one pneumothorax. Sonographically guided biopsy can be carried out as a bedside procedure. Real-time monitoring compensates for respiratory movements. Its role is curbed by intervening air such as in aerated lung, pneumothorax or primarily cavitatory lesions.
选取50例胸部病变患者，在实时超声引导下进行经皮活检。适应证为与胸壁接触且超声可及的肺部、胸膜及纵隔病变。包括纵隔重要结构附近的病变（n = 3）、肺尖病变（n = 8）、与胸壁接触的小肺结节（n = 24）、有胸腔积液的病变（n = 2）、胸膜结节（n = 9）以及胸壁本身的肿物（n = 4）。45例恶性病变中的38例（84.4%）以及5例良性病变中的4例（80%）获得了明确诊断。并发症仅1例气胸。超声引导下活检可在床边进行。实时监测可补偿呼吸运动。其作用受诸如充气肺、气胸或原发性空洞性病变等介入空气的限制。
