[心包活检在心包疾病病因诊断中的价值]
[Value of pericardial biopsy in the etiologic diagnosis of pericardial diseases].
作者信息
Fernandes F, Ianni B M, Arteaga E, Benvenutti L, Mady C
机构信息
Instituto do Coração, Hospital das Clínicas, FMUSP.
出版信息
Arq Bras Cardiol. 1998 Jun;70(6):393-5. doi: 10.1590/s0066-782x1998000600003.
PURPOSE
To determine the value of pericardial biopsy as a complementary exam in the etiology of pericardial effusion.
METHODS
We analyzed retrospectively (from 1990 to 1997) 38 patients with pericardial effusion. The age ranged between 3 months and 79 years (mean 41.15 +/- 21.78 years). Pericardial biopsy was performed in all cases through a subxiphoid incision.
RESULTS
In 4 patients (10.5%) the biopsy was able to define etiology, 2 had tuberculosis and 2 neoplasias (1 undetermined adenocarcinoma, 1 mesotelioma). In 34 patients the biopsy showed non-specific chronic pericarditis.
CONCLUSION
Pericardial biopsy was not an effective method to determine the etiological diagnosis in pericardial effusion patients. We believe that we have to individualize the indication of pericardial biopsy especially if tuberculosis or neoplasia are suspected.
目的
确定心包活检作为心包积液病因辅助检查的价值。
方法
我们回顾性分析了（1990年至1997年）38例心包积液患者。年龄范围在3个月至79岁之间（平均41.15±21.78岁）。所有病例均通过剑突下切口进行心包活检。
结果
4例患者（10.5%）活检能够明确病因，2例为结核，2例为肿瘤（1例未确定的腺癌，1例间皮瘤）。34例患者活检显示为非特异性慢性心包炎。
结论
心包活检不是确定心包积液患者病因诊断的有效方法。我们认为必须个体化心包活检的指征，尤其是在怀疑结核或肿瘤时。
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