Low-risk large-needle biopsy of chest lesions.
Low-risk large-needle biopsy of chest lesions.
复制标题
胸部病变的低风险大针活检。
DOI：
10.1378/chest.96.3.538
复制
发表时间：
1989
期刊：
影响因子：
9.6
通讯作者：
J. Saterfiel
中科院分区：
文献类型：
--
作者：
F. Clore;C. Virapongse;J. Saterfiel
使用大口径切割针（14.5 至 18.0 号）对 210 个胸部病变进行了活检。患者年龄从 13 岁到 84 岁不等，其中男性占绝大多数（99%）。大多数病变是基于胸膜的肺部肿块 (133)。大多数（140）只需要一次通过即可诊断。采用了某些技术考虑，从而将并发症发生率降至 4.8%。仅 8 例（4%）发生气胸。有八次假阴性活检，没有假阳性。与细针活检 (SNB) 相比，大针活检 (LNB) 的主要优点是获得大的组织核心，从而可以进行更具体的组织学诊断。通过适当的技术和仔细的患者和病灶选择，LNB 可以像细针活检一样安全地进行。
There were 210 chest lesions biopsied with large-bore cutting needles (14.5 to 18.0 gauge). The patients ranged in age from 13 to 84 years with a heavy preponderance of males (99 percent). Most of the lesions were pleural based lung masses (133). In the majority (140) only one pass was required for diagnosis. Certain technical considerations were employed which resulted in a low complication rate of 4.8 percent. Pneumothorax occurred in only eight cases (4 percent). There were eight false-negative biopsies and no false-positives. The key advantage of large needle biopsy (LNB) over skinny needle biopsy (SNB) is that a large tissue core is obtained that allows for more specific histologic diagnosis. With proper technique and careful patient and lesion selection, LNB can be performed as safely as thin-needle biopsy.