超声定位下槽切式胸膜活检在老年结核性胸腔积液中的临床价值

中国防痨杂志 ›› 2008, Vol. 30 ›› Issue (5): 442-444.

超声定位下槽切式胸膜活检在老年结核性胸腔积液中的临床价值

李永杰¹；张燕²；陈倬¹；冯俐¹

1.北京老年医院北京 10095；2.北京军区总医院北京 100700

出版日期:2008-05-10 发布日期:2011-11-03

The value of ultrasound-guided pleural biopsy with tru-cut needle in the diagnosis of geriatric tuberculous pleuritis

Li Yongjie, Zhang Yan, Chen Zhuo, et al.

Department of Ultasonics Diagnosis, Beijing Geriatric Hospital, Beijing 100095, china

Online:2008-05-10 Published:2011-11-03

摘要/Abstract

摘要： 目的　探讨超声定位下槽切式胸膜活检对老年结核性胸腔积液的诊断价值。方法对58例老年结核性胸腔积液患者胸膜活检的取材成功率、病理诊断阳性率进行总结,分析胸膜活检的诊断价值、影响诊断阳性率的因素,以及胸膜活检的并发症。结果 58例中取材成功率91.5%(75/82),病理结核确诊率70.7%(41/58)。增加活检次数可以提高诊断阳性率;并发症7例(8.5%)。结论超声定位下槽切式胸膜活检可作为诊断老年结核性胸腔积液安全有效的手段。

关键词: 胸膜活组织检查,槽切式, 胸腔积液,超声定位

Abstract: Objective To explore the effects of ultrasound-guided pleural biopsy with Tru-cut needle in the disgnosis of geriatric tuberculous pleuritis. Methods Fifty-eight patients with tuberculous pleuritis were taken ultrasonically guided percutaneous biopsy, and then pathologic analysis was conducted. The diagnosis value of percutaneous biopsy, the factors influencing the positive diagnosis and the complication of percutaneous biopsy were analyzed. Results The success rat of obtaining specimens by ultrasound-guided pleural biopsy with Tru-cut needle in tuberculous pleuritis was 91.5%(75/82), pathological positive diagnosis rate was 70.7%(41/58. The diagnosis success rate was increased with the increase of the times of the biopsy. Postoperative complications was seven cases (8.5%). Conclusion The ultrasound-guided pleural biopsy with Tru-cut needle is a safety and effective method, and can provide early diagnosis in geriatric tuberculous pleuritis.

Key words: pleural biopsy, Tru-cut, pleuritis, ultrasonic location

李永杰,张燕,陈倬,冯俐. 超声定位下槽切式胸膜活检在老年结核性胸腔积液中的临床价值[J]. 中国防痨杂志, 2008, 30(5): 442-444.

Li Yongjie, Zhang Yan, Chen Zhuo, et al.. The value of ultrasound-guided pleural biopsy with tru-cut needle in the diagnosis of geriatric tuberculous pleuritis[J]. Chinese Journal of Antituberculosis, 2008, 30(5): 442-444.

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