KẾT QUẢ KỸ THUẬT SINH THIẾT MÀNG PHỔI BẰNG KIM TRU-CUT DƯỚI HƯỚNG DẪN SIÊU ÂM HOẶC CHỤP CLVT Ở TRƯỜNG HỢP LAO CÓ DÀY MÀNG PHỔI

Abstract

Objectives: Comments on the results and safety of Tru-cut pleural biopsy technique under ultrasound or CT guidance in patients with pleural effusion due to tuberculosis at the Central Lung Hospital. Subjects and methods: A cross-sectional, retrospective and prospective study on 107 patients with pleural effusion due to tuberculosis who underwent pleural biopsy using Tru-cut needle at the Central Lung Hospital from January 2019 to December 2023. Results: The average age was 47.9 years and the majority of patients were under 60 years old, accounting for 71.0%. The proportion of men accounted for 71.0%, while that of women accounted for 29.0%. 100% of patients had successful pleural tissue samples taken and only 1 patient had complications during pleural biopsy, which was pneumothorax, accounting for 0.9%. The proportion of patients with histopathological results of pleural biopsy showing tuberculosis lesions accounted for 72.0%, the proportion of patients with positive pleural culture of MST tuberculosis bacteria in MGIT environment was 43.9% and the number of patients with positive pleural biopsy tissue LPA was 5/28, accounting for 17.9%. Conclusion: The diagnostic value of pulmonary TB by Tru-cut needle guided by ultrasound or CT scan in pulmonary TB patients at the Central Lung Hospital in 2019-2023 reached 72.0%. This is a safe technique with few complications.