经皮肺穿刺活检的诊断准确性及并发症
The diagnostic accuracy and complications of closed lung biopsies.
作者信息
Herman P G, Hessel S J
出版信息
Radiology. 1977 Oct;125(1):11-4. doi: 10.1148/125.1.11.
The diagnostic yields and complication rates of closed lung biopsies were determined by responses to a questionnaire. Of 5,255 procedures reported, 30% were aspiration biopsies (AB), 7% tissue core biopsies (CB), 2% trephine biopsies (TR), 37% bronchial brush biopsies (BB), and 23% transbronchial biopsies (TB). Of these biopsies, 70% were done for suspected neoplasms. The diagnostic accuracy rates were: AB=82%, CB=84%, TR=86%, BB=61%, and TB=56%. Mortality rates were: AB=0.1%, CB=0.3%, TR=2.9%, BB=0.0%, and TB=0.3%. Transthoracic needle biopsies (AB, CB) had the highest overall diagnostic accuracy, with an associated low mortality and moderate morbidity.
通过对一份调查问卷的回复来确定闭合性肺活检的诊断率和并发症发生率。在报告的5255例操作中，30%为针吸活检（AB），7%为组织芯活检（CB），2%为环钻活检（TR），37%为支气管刷检活检（BB），23%为经支气管活检（TB）。在这些活检中，70%是针对疑似肿瘤进行的。诊断准确率分别为：AB = 82%，CB = 84%，TR = 86%，BB = 61%，TB = 56%。死亡率分别为：AB = 0.1%，CB = 0.3%，TR = 2.9%，BB = 0.0%，TB = 0.3%。经胸针吸活检（AB、CB）总体诊断准确率最高，且相关死亡率低、发病率中等。
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