彩色多普勒超声引导下经皮肺部周围型肿块穿刺活检的临床价值  

Clinical value of ultrasound-guided percutaneous needle biopsy of peripheral lung masses

作　　者：毕建民[1] 刘倚河[1] 李广翠[1] 张蓉[1] 廖瑞真[1] 刘舜辉[1] 

机构地区：[1]福建漳州解放军第175医院特诊科,363000

出　　处：《介入放射学杂志》2011年第8期628-630,共3页Journal of Interventional Radiology

摘　　要：目的探讨彩色多普勒超声(彩超)引导下经皮肺穿刺活检对周围型肺部肿块的应用价值。方法对234例经超声、X射线、CT或MRI检出的周围型肺部肿块患者,在超声定位和引导下,行经皮肺部肿块穿刺活检,取组织和(或)细胞行病理检查。结果 234例中230例穿剌取材成功,215例一次取材成功,成功率为91.9%(215/234)。其中154例(67.0%)同时获得组织和细胞学病理检查,62例行组织病理检查,18例行单一细胞学检查,病理检查阳性率分别为96.8%(149/154)、90.3%(56/62)和55.6%(10/18)。结论彩超引导下经皮肺穿刺活检是一项微创介入检查技术,能全程实时动态显示穿刺过程,对穿刺周围型肺部肿块具有操作灵活、安全可靠、成功率高的优点,是周围型肺部肿块定性诊断的首选方法。Objective To assess the clinical value of ultrasound-guided percutaneous needle biopsy of peripheral lung masses. Methods A total of 234 patients with peripheral lung masses were enrolled in this study. The lesions were detected with ultrasonography, X-ray, CT or MRI. Under the guidance of color Doppler ultrasound, percutaneous needle biopsy of lung masses was carried out to obtain histological and/or cytological specimens for pathological examination. The technical success rate and the pathological results were analyzed. Results Of 234 cases, technical success was achieved in 230 and successful collecting of lesion tissue with single procedure was accomplished in 215 （91.9%）. Of the 215 cases, both pathological and histological examinations were carried out in 154, only pathological examination was done in 62 and only histological examination was made in 18. Pathologically, the positive rates were 96.8% （149/154）, 90.3% （56/62） and 55.6% （10/18）. Conclusion Ultrasound-guided percutaneous needle biopsy is a minimally invasive screening technique. The whole puncturing course can be dynamically demonstrated in real time. For the puncturing needle biopsy of peripheral lung masses, this technique has the advantages of simple manipulation and safety with higher success rate. Therefore, it should be regarded as the examination of first choice.

关 键 词：彩色多普勒超声引导 经皮肺穿刺 周围型肺部肿块 

分 类 号：R445.1[医药卫生—影像医学与核医学]