超声引导下周边型肺肿块穿刺活检方法学及安全性分析  

Methodology and safety analysis of ultrasound-guided pulmonary peripheral masses biopsy

作　　者：张纯林[1] 罗福成[1,2] 童清平[2] 陈永超[2] 

机构地区：[1]安徽医科大学解放军临床学院,安徽合肥230032 [2]解放军第105医院超声科,安徽合肥230031

出　　处：《安徽医药》2011年第7期859-861,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的进一步评价超声引导下经皮肺穿刺方法学及临床应用价值,探讨如何减少并发症的发生及提高取材结果的阳性率。方法对978例影像学检查显示的肺周边型肿块需明确诊断者行超声引导下经皮肺肿块穿刺活检术。结果 978例病人937例确诊,活检确诊率95.8%。病理诊断结果:恶性肿瘤714例,其中鳞癌306例,腺癌215例,未分化癌118例,恶性淋巴瘤4例,恶性间皮瘤3例,肺泡癌30例,转移癌23例,其它恶性肿瘤15例;良性病变223例,其中结核82例,肺脓肿35例,炎性假瘤101例,错构瘤5例;未能确诊者41例。并发气胸13例,咯血8例,并发症发生率为2.15%。结论超声引导下经皮肺穿刺是一种安全简便的鉴别诊断方法,可以有效提高周边型肿块的诊断准确率。Aim To further evaluate the clinical value and methodology of ultrasound-guided percutaneous lung biopsy and to explore the ways to reduce complications and improve the positive rate of derived results.Methods 978 cases of lung imaging demonstrated a clear need to peripheral tumor diagnosed by ultrasound guided percutaneous lung biopsy.Results 937 cases were confirmed in the 978 cases with a confirmed biopsy rate of 95.8%.The outcomes of pathological diagnosis were listed as follows：714 cases of malignant tumor,including squamous carcinoma（n=306）,adenocarcinoma（n=215）,anaplastic carcinoma（n=118）,malignant lymphoma（n=4）,and malignant mesothelioma（n=3）,alveolar carcinoma（n=30）,metastatic carcinoma（n=23）,other malignant tumor（n=15）,223 cases of benign lesion,including tuberculosis（n=82）.lung abscess（n=35）,inflammatory pseudotumor（n=101）,hamartoma（n=5）.41 cases were not diagnosed.Complication rate was 2.15%,including 13 cases of pneumothorax and 8 cases of hemoptysis.Conclusion Ultrasound guided percutaneous lung biopsy is safe and offers a high diagnostic rate,especially suitable for the pulmonary peripheral masses.

关 键 词：周边型肺肿块 超声引导 活检 

分 类 号：R445.1[医药卫生—影像医学与核医学] R446.8[医药卫生—诊断学]