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  • Slepa igelna biopsija parietalne plevre = Needle pleural biopsy
    Remškar, Zlata ...
    Background. The aim of this study was to determine the diagnostic value of needle pleural biopsy (NPB) in patients with pleural disease treated at the Department of Pulmonary Diseases and Allergy ... Golnik in the years 1996 and 1997. Methods. The purpose of our retrospective study of 176 NPBs done at thisDepartment between 1996 and 1997 was to determine the efficiency, diagnostic yield and complications of NPB used for the evaluation of patients with pleural disease. Results. In 18.8% of the patients studied, granulomatousor tuberculous pleuritis was diagnosed on the grounds of histology of pleural specimens obtained by NPB. Malignant - mostly secondary -infiltration of pleura was discovered in 17.7% of patients with pleural disease. In 3.4% of patients other less frequent conditions were diagnosed, such as asbestos pleuritis, posttraumatic pleuritis and anyloidosis of pleura.In 59.1% of patients we established the diagnosis of unspecific pleuralinflammation; in half thes epatients the condition was later identifiedby other diagnostic modalities as a manifestation of some internal disease. The etiology of pleural disease remained unknown in 28.3% of patients. The fact that only 3 tissue specimens were not properly collected speaks for great competence and tecnicalskill of doctors performing NPB. Complications of NPB were few and not life-threatening: there were 5 lung collapses and 3 iatrogenic pneumothoraces. Conclusions. As expected and then confirmed by the analysis of 176 NPBs done at this Department between 1996 and1997, NPB is a valuable diagnostic tool in the evaluation of patients with pleural disease. The procedure should always precede thoracoscopy.
    Vrsta gradiva - članek, sestavni del
    Leto - 1998
    Jezik - slovenski
    COBISS.SI-ID - 8163033