超声引导经皮穿刺活检诊断肺周围型病变的应用价值  

Application of ultrasound guided autobiopsy technology in interventional diagnosis of pulmonary peripheral disease

作　　者：王晓燕[1] 刘政[1] 谭开彬[1] 潘旭[1] 卓忠雄[1] 

机构地区：[1]第三军医大学新桥医院超声科,重庆400037

出　　处：《重庆医学》2013年第35期4260-4261,4264,共3页Chongqing medicine

摘　　要：目的探讨超声引导经皮穿刺活检在肺部周围型实质性占位诊断中的临床应用价值。方法回顾性分析该院117例经X线或CT证实肺周围部实质性占位,并经彩色超声检查在胸部肋间探及实质性占位,不能明确诊断的患者行超声引导下活检后的结果。结果 117例患者均穿刺成功,穿刺成功率100%,2例因组织坏死液化,未获得明确病理诊断,其余115例均有明确的病理结果,穿刺取材阳性率98.3%,其中慢性炎性20例、结核14例,磷癌30例、腺癌45例、小细胞分化癌6例。未发生明显气胸、咯血、大出血等并发症。结论超声引导经皮穿刺活检在肺部周围型实质性占位分析中,病理确诊阳性率高,安全、无明显并发症,能够为临床提供可靠的诊断治疗依据,是一种低风险、微创性检查技术。Objective To investigate the value of ultrasound guided autobiopsy technology in interventional diagnosis of pulmonary peripheral disease.Methods 117cases of pulmonary peripheral disease proved by X-ray or CT,confirmed by ultrasound,but could not be identified the nature by the examination above,were biopsied under the guidance of ultrasound.Results All the 117cases were biopsed successfully.115cases of them had definite pathological results,the pathological positivity rate was 98.3%,in which contained 20cases of chronic inflammation,14cases of tuberculosis,30cases of squamous cell carcinoma,45cases of adenocarcinoma,6cases small cell undifferentiated carcinoma.No complication,such as pneumatothorax,hemoptysis,bleeding occurred during the operation.Conclusion The ultrasound guided autobiopsy technology in interventional diagnosis of pulmonary peripheral disease is a safe and effective technique,the tissues obtained from ultrasound guided autobiopsy were adequate to pathological slide which can provide the basis of the clinical diagnosis.

关 键 词：超声检查 多普勒 彩色 活组织检查 肺疾病 手术后并发症 

分 类 号：R445.1[医药卫生—影像医学与核医学]