Author/Editor		Šegota, Nikša; Repše-Fokter, Alenka; Radič, Željko
Title		Punkcija pljuč, vodena s pomočjo CT - prikaz treh primerov
Translated title		CT guided fine needle aspiration biopsy of the lung - a report of three cases
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. 7-8
Publication year		1997
Volume		str. 379-81
Language		slo
Abstract		Background. Haaga and Alfidi made a report of the first CT guided transthoracic needle lung biopsy 20 years ago. The technique has been improved and used all over the world ever since. The indications for CT guided TNB are lesions suspicious for malignancy and benign lesions, after nondiagnostic transbronchial lung biopsy. The purpose of our article is presentation of our first expirence with CT guided TNB, biopsy technique and it's advantage over TNB with fluoroscopy. Conclusions. The diagnosis has not been confirmed with bronchoscopy in presented three cases. CT guided TNB was used afterwards. The lung cancer diagnosis was cytologically confirmed. Patients were successfully operated. medical staff x-ray exposure has been avoided. It has been less x-ray exposure of patient in comparison to TNB under fluroscopic guidance. The CT guided TNB is, in our cases, more exact and has advantage over conventional fluroscopic method.
Summary		Izhodišča. Že 20 let je minilo, odkar sta Haaga in Alfidi prva opravila punkcijo pljuč, vodeno s pomočjo CT. Od takrat se je tehnika punkcije izpopoljnjevala, njena uporaba v svetu pa neprestano širila. Glavna indikacija zanjo je opredelitev malignih in benignih sprememb v pljučih, ki bronhoskopsko niso dosegljive. Namen prispevka je prikazati naše izkušnje, opisati tehniko posega ter poudariti prednosti punkcije pljuč, vodene s pomočjo CT pred diaskopsko vodeno punkcijo. Zaključki. Pri prikazanih treh primerih z bronhoskopijo nismo uspeli potrditi diagnoze. V nadaljevanju diagnostičnega postopka smo opravili punkcijo pljuč, vodeno s pomočjo CT. Citološko smo potrdili in opredelili pljučno rakasto bolezen. Bolniki so bili uspešno operirani. Medicinska ekipa pri opisanem načinu ni izpostavljena rentgenskemu sevanju. Učinkovita rentgenska doza za bolnika je manjša, kot bi bila pri diaskopsko vodeni punkciji. Zaradi večje natančnosti CT menimo, da ima ta metoda pri prikazanih primerih prednost pred diaskopsko vodeno punkcijo.
Descriptors		LUNG NEOPLASMS TOMOGRAPHY, X-RAY COMPUTED BIOPSY, NEEDLE