title: [Ultrasound guided fine- and coarse-needle puncture of the abdominal and retroperitoneal space].
abstract: Within a period of 21 months, 167 fine-needle and 86 cannula (1.67 mm external diameter) punctures of the abdominal or retroperitoneal space were performed under sonographic control. Sufficient material was obtained with 93.4% of fine-needle punctures. With regard to differentiation between malignant and benign lesions, fine-needle punctures had a sensitivity of 86% and specificity of 100%, if the material was examined by an experienced cytologist. Sensitivity dropped to 55,1% if the same material was interpreted by a less experienced cytologist, but specificity was still 98.1%. Sufficient material for histological examination was always obtained with the cannula, already at the first puncture. With cannula puncture there were two complications: bleeding requiring transfusion and peritonitis.
authors.affiliation: Abteilung Innere Medizin II, Gastroenterologie und Ernährungswissenschaften, Universitätsklinik Ulm.
authors.forename: T
authors.initials: T
authors.lastname: Binder
authors.forename: W
authors.initials: W
authors.lastname: Swobodnik
authors.forename: J G
authors.initials: JG
authors.lastname: Wechsler
authors.forename: K
authors.initials: K
authors.lastname: Löschinger
authors.forename: E
authors.initials: E
authors.lastname: Eckert
authors.forename: A
authors.initials: A
authors.lastname: Schoengen
authors.forename: H
authors.initials: H
authors.lastname: Heimpel
authors.forename: H
authors.initials: H
authors.lastname: Ditschuneit
mesh_terms: D000005:Abdomen / Q000473:pathology*; D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D052177:Kidney Diseases, Cystic / Q000473:pathology; D007680:Kidney Neoplasms / Q000473:pathology; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000473:pathology; D008113:Liver Neoplasms / Q000473:pathology; D008223:Lymphoma / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009339:Needles; D010179:Pancreas / Q000473:pathology; D010182:Pancreatic Diseases / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000473:pathology; D012186:Retroperitoneal Neoplasms / Q000473:pathology; D012187:Retroperitoneal Space / Q000473:pathology*; D014463:Ultrasonography
vernacular_title: Sonographisch geführte Fein-und Grobnadelpunktion im abdominalen und retroperitonealen Raum.