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perikardial biopsyの診断的価値: perikardioscopyによって可能になった広範なサンプル採取による改善

Petar M Seferović¹, Arsen D Ristić, Ruzica Maksimović

¹Department of Cardiology 2, University Institute for Cardiovascular Diseases of the Medical Center of Serbia. Belgrade, Yugoslavia. eseferov@eunet.yu

|February 26, 2003

まとめ

周心鏡検査は,光鏡検査と比較して,周心臓生検の効率と診断価値を大幅に改善します. perikardioscopyによって導かれた広範なサンプリングは,pericardial effusionsのより良い診断結果をもたらします.

科学分野:

心臓病学心臓病学
介入性心臓病学介入性心臓病学
診断手順診断手順

背景:

循環器生検の臨床的有用性は依然として議論されている.
現在の方法には,光学誘導と心周鏡検査が含まれています.

研究の目的:

3つの循環器生検技術の実現可能性と診断成果を評価する.
光学指導と標準サンプル採取,心周鏡検査と標準サンプル採取,心周鏡検査と広範なサンプル採取を比較する.

主な方法:

パリエタル perikardial バイオプシーは,大きな pericardial 流出を持つ49人の患者に実施されました.
グループ1:光学ガイド (3-6サンプル).
グループ2:心周鏡検査ガイド (4-6サンプル).
グループ3: 広範なサンプル採取 (18〜20個のサンプル) を伴う心周鏡検査の指導.

主要な成果:

周心鏡検査は,光鏡検査 (43.7%) よりも,より高い採取効率 (84.2~84.9%) を示した.
広範囲にわたる心周鏡検査 (第3グループ) は,光検査と比較して,新規診断率 (40%対8.3%) と病因学的識別率 (53.3%対8.3%) を改善した.
偽陰性率は,広範囲の心周鏡検査で有意に低かった (6.7%対58.3%).

結論:

ペリカルディオスコピックガイドは,ペリカルディオサンプリングの効率を高める.
perikardioscopyによって促進された広範な perikardial サンプル採取は, pericardial バイオプシーの診断価値を大幅に改善します.

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