B超引导下经皮肺穿针吸活检对肺部肿块的诊断价值  

Diagnostic Value of Ultrasound-guided Percutaneous Needle Biopsy for Pulmonary Lesions

作　　者：陆菲菲[1] 段德卿[1] 李爱娇[1] 

机构地区：[1]江西医学院第一附属医院B超室,江西医学院第一附属医院呼吸科,江西省公费医疗门诊部

出　　处：《中国超声医学杂志》1995年第9期677-679,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：本文以手术病理诊断和临床随访结局为基准，分析了经Ｂ超肺穿活检获取的７８例患者的组织细胞学资料，结果显示：Ｂ超肺穿活检对肺部病变定性诊断的符合率为９７．４％，敏感性９５．９％，特异性１００％，较纤维支气管镜检诊断的准确性更高。本组仅２例并发气胸。我们认为，Ｂ超肺穿活检可提供二维实时图像的动态监测，确保获取病变核心部位的组织，因而在提高穿刺的成功率、增加诊断符合率、减小并发症和保障操作安全等方面呈现优势，与ＣＴ和纤维支气管镜检结合应用，能进一步提高肺部病变诊断的准确性。Assessments of safety,sensitivity,and accuracy of ultrasound-guided percutaneous needle biopsy (US-PCNB) for diagnosis of pulmonary lesions were researched.Seventy eight patients,with radiographic evidences of pulmonary mass larger than 2cm in size,underwent US-PCNB. The diagnostic results of US-PCNB were comfirmed by surgery,by biopsy from other metastatic sites,or by follow-up examinations.The sensitivity of US-PCNB for diagnosis of malignancy was 95.9%;specificity was 100%. In cornparing US-PCNB and fiber-brochoscopy examination. the accuracy rate for diagnosis of malignancy was 97.4%vs 57.9%(P<0.003).Two patients complicated with minimal pneumothorax.

关 键 词：B型超声引导 经皮 针吸活检 肺部肿块 超声波 

分 类 号：R563.04[医药卫生—呼吸系统]