老年肺周围型肿块超声引导下穿刺活检的安全性分析  

Safety Analysis of Ultrasound-guided Needle Biopsy for Pulmonary Peripheral Masses in the Elderly

作　　者：张贵祥 梁沅 蔡永胜 

机构地区：[1]西安市长安医院超声科,西安710016

出　　处：《现代医用影像学》2014年第1期80-82,共3页Modern Medical Imageology

摘　　要：目的:进一步评价超声引导下对老年肺周围型肿块穿刺活检的临床应用价值,探讨如何减少并发症的发生以及提高取材结果的阳性率。材料与方法:对57例影像学检查显示的肺周围型肿块需明确诊断者进行超声引导下经皮肺肿块穿刺活检术。结果:57例肺周围型占位性肿块患者均穿刺成功,活检确诊率100%。病理结果为鳞癌28例,腺癌19例,小细胞癌6例,鳞腺混合癌3例,未定型1例。结论:超声引导下经皮肺穿刺组织活检具有定位精准、穿刺成功率高、获取组织标本可满足病理诊断要求、并发症较少等优点,可以作为老年肺周围型肿块患者的首选诊断方法。Purpose： To further evaluate the clinical applicationvalue of ultrasound-guided needle biopsy for pulmonary peripheralmasses in the elderly, and to probe the ways to reduce complications and improve the positive rate of tissue speci- men. Materials and Methods： 57 cases ofpulmonary peripheral masses displayed by imaging studies which need toget defini- tive diagnosis were performed percutaneous needle biopsy under ultrasound guidance. Results： 57 cases were successfully bi- opsied with adiagnostie rate of 100%. The outcomes of pathological diagnosis were listed as follows： 28 cases of squamous car- cinoma, 19 cases ofadenoearcinoma, 6 cases of small cell carcinoma, 3 cases ofadenosquamous carcinoma, 1 case was not i- dentified. Conclusion： Ultrasound-guided pereutaneous biopsy can be used as the preferred method of diagnosis in the elderly patients with pulmonary peripheraltumor, which can locate accurately , improve success rate of puncture andreduee complications , and also can offer the reliable tissue specimen forpathologic diagnosis.

关 键 词：肺周围型肿块 超声引导 活检 老年 

分 类 号：R445.1[医药卫生—影像医学与核医学]