Avtor/Urednik		Debeljak, Andrej; Kern, Izidor; Triller, Nadja; Kecelj, Peter
Naslov		Transtorakalna igelna aspiracijska biopsija pljuč na Golniku 1998
Prevedeni naslov		Transthoracic needle aspiration biopsy of lung at Golnik in 1998
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 69, št. 2
Leto izdaje		2000
Obseg		str. 93-6
Jezik		slo
Abstrakt		Background. Transthoracic needle aspiration biopsy is one of the basic invasive diagnostic procedures in patients with lung, especially malignant diseases. Because of the staff rotation of the doctors, we were interested in the sensitivity of the procedure in 1998. Methods. In 1998 we performed 132 fluoroscopy-guided transthoracic needle biopsies in 108 patients, 83 males and 25 females, aged 55.7 +- 11.6 years. Nordenstrom needle was applied 126 times, Rotex or Hepafix needle were used 6 times. The samples were examined cytologically, bacteriologically or histologically. Results. Overall sensitivity of the lung needle biopsy was 70% (76/108). Sensitivity in patients with malignancy was 88% (44/50), specificity was 98% and in patients with benign diseases the sensitivity was 67%(32/48). We improved the diagnostics in 60% (12/20) of patients in which we repeated the procedure two or three times. After complete diagnostic workup in 10 patients were unable to make the diagnosis. In 5.5% (6/108) of patients the pneumotorax occured. Chest tube placement was necessary in one patient.
Izvleček		Izhodišča. Transtorakalna igelna aspiracijska biopsija spada med osnovne diagnostične invazivne posege pri pljučnem bolniku, posebno če sumimo na maligno bolezen. Ker se je spremenila kadrovska zasedba zdravnikov, nas je zanimalo, kakšni so bili uspehi te preiskave v letu 1998. Metode. Raziskava je bila retrospektivna. V letu 1998 smo pod kontrolo fluoroskopije naredili 132 pljučnih punkcij pri 108 bolnikih; 83 moških in 25 ženskah v starosti 55,7 +- 11,6 leta. Nordenstromovo iglo smo uporabili 126-krat, Rotex ali Hepafix iglo pa 6-krat. Vzorce smo pregledovali citološko, bakteriološko ali histološko. Rezultati. S punkcijo smo pri 70% bolnikov (76) bolezen dokončno opredelili. Senzitivnost pri bolnikih z malignimi boleznimi je bila 88% (44/50), specifičnost 98%, pri benignih boleznih pa je bila senzitivnost 67% (32/48). Pri 20 bolnikih smo punkcijo ponavljali do trikrat in v 60% potrdili diagnozo (12/20). Deset bolnikov tudi po končani diagnostiki ni bilo dokončno opredeljenih. Pri 5,5% (6/108) bolnikih smo po punkciji opazili pnevmotoraks. Pri enem bolniku je bila potrebna plevralna drenaža (1%). Zaključki. Transtorakalna igelna aspiracijska biopsija omogoča na enostaven in nenevaren način z visoko senzitivnostjo potrditi maligne in mnoge benigne bolezni pljuč, mediastinuma in prsne stene.
Deskriptorji		MEDIASTINAL DISEASES LUNG DISEASES BIOPSY, NEEDLE PLEURAL DISEASES LUNG NEOPLASMS RETROSPECTIVE STUDIES