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组织活检对诊断疾病的价值是众所周知的,但心肌活检却应用较少。50年代是作开胸活检,以后也用过细针经胸部穿刺,但并发症较多。自60年代初期日本的Konno和Sakakibara设计的经血管导管活检钳应用于临床以来,使心内膜心肌活检(EMB)得到了显著改进。目前,EMB的诊断意义虽还有争论,但还是得到普遍的承认和推广。 EMB并非对所有心脏疾病都有价值,部分有特异性改变,部分为非特异性改变。
Tissue biopsy is well known for the value of diagnosing disease, but myocardial biopsy is less commonly used. 50’s for thoracic biopsy, after the needle has also been used through the chest puncture, but more complications. Endocardial myocardial biopsy (EMB) has been significantly improved since the early implementation of the transcatheter biopsy forceps by Konno and Sakakibara in Japan in the early 1960s. At present, although the diagnostic significance of EMB is still controversial, it is still widely recognized and promoted. EMB is not valuable for all heart disease, some of the specific changes, some non-specific changes.