經皮肺穿刺細胞針吸術對胸腔疾病之診斷

Transthoracic Needle Aspiration Biopsy of the Chest Lesions Report on Its Use in 74 Cases and Review of the Literatures

許清寅(Chin-Yin Sheu) ； 沈建業(Peter S. P. Ho) ； 陳政隆(Chien-Yih Shen) ； 曾暉華(Cheng-Lung Chen) ； 趙德讓(Tai-Jong Chau) ； 何善平(Hui-Hwa Tseng)

《中華放射線醫學雜誌》 9卷2期 (1984/06) Pp. 111-118

摘要

三軍總醫院自1981至1983年，74位經由一般檢查無法確立診斷之胸腔疾患，予以實施經皮肺穿刺細胞針吸術，(Percutaneous transthoracic needle aspiration biopsy)，其中52例(70%)，因此獲得正確診斷。氣胸(Pneumothorax)為較常見之併發症，有6位(8%)病人須接受胸管引流，但沒有因此項檢查而致命的，由於方法簡易安全，與支氣管刷取術(bronchial brushing)相輔相成，可提高胸腔疾病之診斷率，值得大力推行。

並列摘要

Transthoracic needle biopsy of pleura, lung and mediastinum is a simple, safe and practical procedure for establishing the cytological diagnosis.
The diagnostic accuracy of the procedure exceeds that of any other conventional methods except thoracotomy. With image-intensifier fluoroscopy and thin needles, a biopsy can be performed in either the center or the periphery of the lung. The principal complication of transthoracic needle biopsy is pneumothorax.
By shortening the interval between diagnosis and the institution of therapy, the rapid determination of the nature of a suspected mediastinum, lung or pleural lesion makes transthoracic needle biopsy a very valuable diagnostic procedure that should be available in any diagnostic radiology department.