超声引导下穿刺活检对周围型肺肿块诊断的临床价值  

Clinical value of ultrasound-guided percutaneous biopsy in peripheral pulmonary masses

作　　者：欧广超[1] 朱先存[1] 左鲁生[1] 黄远洋[1] 

机构地区：[1]解放军第123医院特诊科,安徽蚌埠233015

出　　处：《淮海医药》2012年第5期388-390,共3页Journal of Huaihai Medicine

摘　　要：目的探讨超声引导下经皮肺穿刺活检术对肺周围型病变的临床价值及在应用过程中的注意事项。方法 33例经CT及X线胸片提示肺周围型病变,在超声引导下,用穿刺活检枪经皮对周围型肺肿块进行穿刺活检,将穿刺标本送病理检查,分析统计病理结果及并发症情况。结果 33例均获取合格的组织、标本,穿刺成功率100%。33例中31例得以确诊,2例为切除后得以确诊病理结果。其中恶性病变26例,良性病变7例。并发症2例,1例痰中带血,1例诱发心绞痛。结论超声引导经皮肺穿刺活检术是一种安全、便捷、微创的方法,对于肺周围型病变应做为常规首选诊断方法,有着较高的临床应用价值。Objective To explore the clinical value and notices needed in using ultrasound-guided percutaneous puncture biopsy for peripheral pulmonary lesions. Methods 33 patients suspicious of peripheral pulmonary lesions with CT and/or X- ray underwent Biopsy-gun percutaneons biopsy under the guidance of ultrasound. The specimens were sent for histopathological examination. Statistical analysis of pathological findings and complications was conducted. Results The 33 cases all secured qualified specimens. The puncture success rate was 100%. 31 of the 33 cases were identified and another 2 cases were diag- nosed after excision of pathologic findings. Among the diagnosed, malignant lesions were found in 26 cases, benign lesions in 7 cases, complications in 2 cases. One case was found to have sputum with blood and another case induced angina. Conclu- sion Ultrasound-guided pereutaneous lung biopsy is a safe, convenient and minimally invasive method. It should be recom- mended as the first choice for the detection of pulmonary peripheral lesions.

关 键 词：周围型肺肿块 超声引导 肺穿刺活检 

分 类 号：R445.1[医药卫生—影像医学与核医学] R734.2[医药卫生—诊断学]