Slepa igelna biopsija parietalne plevre v diagnostiki plevralnega izliva = Needle pleural biopsy in the diagnosis of pleural effusion
Rozman, Aleš, 1973- ; Debeljak, Andrej, 1940-
Blind needle pleural biopsy (NBP) is used in the diagnosis of pleural effusionand pleural diseases. The effectiveness of NPB and its complications were evaluated by analysing retrospectiviley 83 NPBs ...done in 2001. Diagnostic specificity and sensitivity of the procedure were determined, as well as its positive and negative predictive value. Granulomatous pleuritis was found in 10.3% of patients. Tuberculous pleuritis was diagnosed in all but one of the patients with pleural involvement due to sarcoidosis. Malignant infiltration of the pleura was discovered in 39.7% of the patients studied; 15.4% had mesothelioma, and 24.3% secondary tumours infiltration of the pleura. Unspecific pleural inflammation was established in 48.7% of patients; 1.3% of cases remained undiagnosed. Pneumothorax occured in four patients, but it resolved spontaneously. The diagnostic specificity of NPB for tuberculosis andmalignant pleural effusion is 100%, and its is sensitivity, 71.4% and 58.1%, respectively. The negative predictive value for tuberculosis and malignant pleural effusion is 97.3% and 78.3%, respectively, whereas the positive predictive value for both entities is 100%. NPB is a safe procedure for the diagnosis of pleural effusion and pleural diseases, associated with a low rate of unsevere complications. It usually precedes thorascopy.
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