Intraoperative fine needle aspiration biopsy of thoracic lesions.
Intraoperative fine needle aspiration biopsy of thoracic lesions.
复制标题
术中对胸部病变进行细针抽吸活检。
DOI：
10.1016/s0003-4975(10)61197-6
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发表时间：
1980
期刊：
影响因子：
--
通讯作者：
W. Fry
中科院分区：
文献类型：
--
作者：
W. J. McCarthy;M. Christ;W. Fry
在开胸探查术（33 名患者）或纵隔镜检查（2 名患者）期间，对 35 名患者进行了 41 次术中细针抽吸活检。每次活检均使用 22 号针进行。涂片在手术台上制备、风干、直接送往实验室、染色并立即由病理学家解读。准备和报告时间平均为十分钟。手术决定是根据病理学家的报告做出的。术中细针抽吸活检在区分炎症和肿瘤性病变方面的准确率是 100%。恶性肿瘤诊断准确率达到 95%（41 个样本中的 39 个）。它可以对肺实质深处的病变进行快速活检，而无需切开未受累的组织，从而可以对每位患者进行适当的切除。没有与该手术相关的死亡。
Forty-one intraoperative fine needle aspiration biopsies were performed on 35 patients during exploratory thoracotomy (33 patients) or mediastinoscopy (2 patients). Each biopsy was done with a 22 gauge needle. Smears were prepared at the operating table, air-dried, sent directly to the laboratory, stained, and interpreted immediately by the pathologist. Preparation and reporting time averaged ten minutes. Surgical decisions were made on the basis of the pathologist's reports.Intraoperative fine needle aspiration biopsy was 100% accurate in differentiating inflammatory from neoplastic lesions. Ninety-five percent diagnostic accuracy for malignancy (39 out of 41 specimens) was obtained. It permitted quick biopsy of lesions deep within the lung parenchyma without the need to cut across uninvolved tissue, thus permitting appropriate resection in each patient. There were no deaths related to the procedure.