探讨高频超声在肺周围病变穿刺活检中的应用  

Application of percutaneous lung needle biopsy in peripheral pulmonary mass with high-frequency ultrasound

作　　者：里子彧[1] 金壮[1] 曹军英[1] 张筠[1] 高越[1] 于馨[1] 牟泳霖 李小茜[1] LI Zi-yu JIN Zhuang CAO Jun-ying ZHANG Yun GAO Yue YU Xin MU Yong-lin LI Xiao-qian(Department of Ultrasound, the General Hospital of Shenyang Militray Command, Shenyang, Liaoning 110016, China)

机构地区：[1]沈阳军区总医院超声科,辽宁沈阳110016

出　　处：《临床肺科杂志》2017年第1期8-11,共4页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨高频超声在肺周围病变穿刺活检中的应用价值。方法选取我院142例肺周围病变的患者进行超声引导下穿刺活检,其中使用高频超声引导者79例,使用低频超声引导者63例。按照病灶与胸膜贴合处直径不同分为三组,分别比较高频超声与低频超声在超声引导下经皮肺周围占位穿刺活检的成功率。结果高频超声在病灶与胸膜贴合处直径<2.0cm时穿刺成功率为94.0%,低频超声在病灶与胸膜贴合处直径<2.0cm时穿刺成功率为67.5%,差异有统计学意义(P<0.05)。结论当病灶与胸膜贴合处直径<2.0cm时,应用高频超声引导肺穿刺更安全且成功率更高。Objective To investigate the application value of percutaneous lung needle biopsy in peripheral pulmonary mass with high-frequency uhrasound. Methods 142 patients with peripheral pulmonary mass were under- went by percutaneous lung needle biopsy with ultrasonic guidance, and they were divided into the high-frequency group （ n = 79） and the low-frequency group （ n = 63 ）. All patients were also divided into three subgroups according to different diameters between lesion and pleura. The achievement ratio were compared between the two groups. Re- sults When the diameter between lesion and pleura was less than 2em, the achievement ratio was significantly high- er in the high-frequency group than in the low-frequency group （ P 〈 0.05 ）. The achievement ratio were respectively 94. 0% and 67.5% in the high-frequency group and the low-frequency group. Conclusion When the diameter be- tween lesion and Pleura was less than 2cm, pereutaneous lung needle biopsy guided high-frequency ultrasound is a safed and reliable method.

关 键 词：高频超声 经皮肺穿刺 周围型 超声引导 

分 类 号：R445.1[医药卫生—影像医学与核医学] R563[医药卫生—诊断学]