Arakawa A, Matsukawa T, Kira M, Tomiguchi S, Takahashi M, Kawano O
Department of Radiology, Kumamoto University Hospital, Japan.
Comput Med Imaging Graph. 1997 Jan-Feb;21(1):23-8. doi: 10.1016/s0895-6111(96)00060-2.
To evaluate the value of ultrasound (US)-guided core-needle biopsy (CNB) for peripheral intrathoracic and mediastinal lesions. Fourteen patients who had intrathoracic or mediastinal lesions underwent US-guided CNB with 17- or 18-gauge needles. The lesions in this study were seven cases of lung carcinomas including four cases of adenocarcinomas and three cases of squamous cell carcinomas, two cases of thymomas, and one case each of aspergillosis, sarcoidosis, MFH, lung abscess, and lung fibrosis. Diagnosis was possible in 13 of 14 (92.8%) cases histologically. There were three cases of complication (21.4%); one case each of pneumothorax, pleuritis, and hemosputum. They were all cured with medication. We concluded that real-time US-guided CNB is a useful and safe method for the examination of peripheral intrathoracic and mediastinal lesions.
评估超声（US）引导下粗针穿刺活检（CNB）对胸内及纵隔周围病变的价值。14例患有胸内或纵隔病变的患者接受了17或18号针的超声引导下CNB。本研究中的病变包括7例肺癌，其中4例腺癌，3例鳞状细胞癌，2例胸腺瘤，以及曲霉菌病、结节病、恶性纤维组织细胞瘤、肺脓肿和肺纤维化各1例。14例中有13例（92.8%）通过组织学检查得以确诊。有3例并发症（21.4%）；气胸、胸膜炎和咯血各1例。经药物治疗后均痊愈。我们得出结论，实时超声引导下CNB是检查胸内及纵隔周围病变的一种有用且安全的方法。
