Comparative diagnostic efficacy of ultrasound-guided, medical thoracoscopic, and blind pleural biopsy in tuberculous pleurisy.

ABSTRACT:

Background

Pleural biopsy (PB) procedures to diagnose tuberculous pleurisy may be blind, ultrasound-guided, or medical thoracoscopic (BPB, USPB, and MTPB, respectively). However, the diagnostic efficacy of the three methods has not been comprehensively and systematically elaborated locally or abroad. This retrospective study compared the diagnostic efficacy and safety of BPB, USPB, and MTPB.

Methods

A retrospective analysis included 333 patients (BPB =84, USPB =97, MTPB =152). Propensity score matching (PSM) generated 60, 77, and 78 matched pairs (USPB vs. BPB, USPB vs. MTPB, BPB vs. MTPB). Sensitivity, specificity, positive predictive value (PPV)/negative predictive value (NPV), and complications were analyzed.

Results

MTPB exhibited significantl

SUBMITTER: Bao X 

PROVIDER: S-EPMC12603398 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature