The utility of ultrasound-guided thoracentesis and pleural biopsy in undiagnosed pleural exudates

被引：73

作者：

Koegelenberg, Coenraad Frederik N. ^{[1
,2
]}

Irusen, Elvis Malcom ^{[1
,2
]}

von Groote-Bidlingmaier, Florian ^{[1
,2
]}

Bruwer, Johannes Willem ^{[1
,2
]}

Batubara, Enas Mansour A. ^{[1
,2
]}

Diacon, Andreas Henri ^{[1
,2
,3
]}

机构：

[1] Univ Stellenbosch, Dept Med, Div Pulmonol, ZA-8000 Cape Town, South Africa

[2] Tygerberg Acad Hosp, Cape Town, South Africa

[3] Univ Stellenbosch, Dept Biomed Sci, Div Med Physiol, ZA-8000 Cape Town, South Africa

来源：

THORAX | 2015年 / 70卷 / 10期

关键词：

YIELD;

D O I：

10.1136/thoraxjnl-2014-206567

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

We assessed the utility of ultrasound to guide the selection of closed pleural biopsy technique and site and to assess the respective contributions of repeat thoracentesis and closed pleural biopsy in 100 consecutive patients with undiagnosed pleural exudates. Thoracentesis was more likely to be diagnostic in TB than malignancy (77.8% vs 31.0%, p<0.001). The addition of ultrasound-guided biopsy increased the combined yield for all diagnoses from 48.0% to 90.0% (p<0.001), for malignancy from 31.0% to 89.7% (p<0.001) and for TB from 77.8% to 88.9% (p=0.688). Our findings suggest that this minimally invasive approach has a high diagnostic yield.

引用

页码：995 / 997

页数：3

共 6 条

[1] Safety and yield of ultrasound-assisted transthoracic biopsy performed by pulmonologists [J].