Giron J, Fajadet P, Senac J P, Durand G, Benezet O, Didier A
CHU Montpellier et Toulouse.
Rev Mal Respir. 1996 Dec;13(6):583-90.
The aim of this retrospective study of 2,406 diagnostic percutaneous thoracic needle aspirations under computer tomographic control was to assess the diagnostic value of this method, the technical problems and the complications and finally, to refine the indications. Percutaneous needle aspiration had been carried out after negative fibreoptic bronchoscopy. The authors review their technique and show the value of biopsy material which is only slightly traumatised. Computerised tomography and fine needle aspiration reduce the risk of pneumothorax and haemorrhage in a significant fashion. Personalized collaboration between the radiologist, physician and cytologist is a vital pre-requisite. The indications are discussed notably in cases of solitary pulmonary nodules and of mediastinal masses.
这项对2406例在计算机断层扫描控制下进行的经皮诊断性胸穿针吸活检的回顾性研究的目的是评估该方法的诊断价值、技术问题及并发症，并最终完善其适应症。在纤维支气管镜检查结果为阴性后进行了经皮针吸活检。作者回顾了他们的技术，并展示了仅受到轻微创伤的活检材料的价值。计算机断层扫描和细针穿刺显著降低了气胸和出血的风险。放射科医生、内科医生和细胞病理学家之间的个性化协作是至关重要的前提条件。尤其在孤立性肺结节和纵隔肿块病例中对适应症进行了讨论。
