超声造影在周围型肺腺癌与鳞癌鉴别诊断及穿刺活检中的价值研究  

Application of Contrast-enhanced Ultrasound in Differential Diagnosis and Biopsy of Peripheral Pulmonary Adenocarcinoma and Squamous Cell Carcinoma

作　　者：公海童 李晓光 李荔 Gong Haitong;Li Xiaoguang;Li Li(Department of Ultrasound,Qilu Hospital of Shandong University(Qingdao),Qingdao,Shandong 266000,China)

机构地区：[1]山东大学齐鲁医院(青岛),山东省青岛市266000

出　　处：《中国超声医学杂志》2022年第2期151-153,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声造影在周围型肺腺癌及鳞癌鉴别诊断及在病变穿刺活检中的应用价值。方法回顾性分析128例周围型肺病变经常规超声或超声造影引导穿刺活检情况,并对造影后病理结果为腺癌或鳞癌的患者的超声造影指标进行分析。结果常规超声与超声造影引导穿刺的标本长度与内部坏死率差异具有统计学意义,腺癌组与鳞癌组病灶大小、内部坏死率及造影峰值强度差异具有统计学意义,其余差异无统计学意义。结论超声造影在周围型肺腺癌、鳞癌鉴别诊断及引导穿刺中具有重要价值。Objective To explore the value of contrast-enhanced ultrasound in the differential diagnosis of peripheral pulmonary adenocarcinoma and squamous cell carcinoma and the relevant pulmonary lesion biopsy.Methods 128 cases of peripheral pulmonary lesions with conventional ultrasound or contrast-enhanced ultrasound-guided needle biopsy were retrospectively analyzed,and the indicators of contrast-enhanced ultrasound in patients with adenocarcinoma or squamous cell carcinoma confirmed by pathology were analyzed too.Results The differences of specimen length and internal necrosis display rate between conventional ultrasound and contrast-enhanced ultrasound guided puncture were statistically significant.The differences of average lesion diameter,internal necrosis display rate and peak intensity after contrast between the squamous cell carcinoma group and the adenocarcinoma group were statistically significant,and the differences of other aspects were not statistically significant.Conclusions Contrast-enhanced ultrasound has important value in the differential diagnosis and guide needle biopsy of peripheral pulmonary squamous cell carcinoma and adenocarcinoma.

关 键 词：超声造影 穿刺活检 周围型肺病变 

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]