超声造影引导对外周型肺肿块粗针穿刺活检并发症的影响  

Effect of ultrasonic contrast + ultrasound guidance on complications in patients with peripheral pulmonary masses undergoing core needle biopsy

作　　者：刘蕊 金泽宏[1] 毕方平 李卫群[1] 朱凌源 LIU Rui;JIN Zehong;BI Fangping;LI Weiqun;ZHU Lingyuan(Department of Ultrasound in the Inpatient Building,Loudi Central Hospital in Hunan Province,Loudi 417000,China)

机构地区：[1]湖南省娄底市中心医院住院部超声科,湖南娄底417000

出　　处：《中国现代医生》2022年第16期116-119,F0003,共5页China Modern Doctor

基　　金：湖南省科技创新计划项目(2020SK51603)。

摘　　要：目的 探讨外周型肺肿块穿刺活检患者行超声造影+超声引导诊断的效果。方法 选取湖南省娄底市中心医院2019年2月~2021年4月收治的82例外周型肺肿块穿刺活检患者,根据随机数字表法分为对照组(常规超声引导,n=41)与观察组(超声造影引导,n=41),比较两组的诊断效果。结果 观察组显示肿瘤坏死(60.98%)、穿刺路径上大血管(21.95%)、获得确切穿刺病例诊断的占比(97.56%)均高于对照组(21.95%、2.44%、85.37%);观察组穿刺相关并发症率(7.32%)低于对照组(24.40%);观察组检查发现,恶性33例,占80.49%;炎症6例,占14.63%;无法诊断2例,占4.88%;对照组恶性21例,占51.22%;炎症14例,占34.15%;无法诊断8例,占19.51%;两组病理结果比较,差异有统计学意义(P<0.05)。结论 外周型肺肿块粗针穿刺活检患者行超声造影引导可减少穿刺相关并发症、准确鉴别良恶性,对尽早确诊疾病有积极作用,利于改善预后,值得推广。Objective To study the effect of ultrasonic contrast + ultrasound-guided diagnosis on patients with peripheral pulmonary masses(PPMs) undergoing needle biopsy. Methods Study data were collected from 82 patients with PPMs admitted to Loudi Central Hospital in Hunan Province for needle biopsy from February 2019 to April 2021. The82 patients were divided into the control group(n=41,conventional ultrasound guidance) and the observation group(n=41,ultrasonic contrast + ultrasound guidance) according to the random number table method. The diagnostic effects of the two groups were comparatively analyzed. Results The proportions of tumor necrosis(60.98%), large blood vessels on the puncture path(21.95%),and accurately diagnosed cases by needle biopsy(97.56%) in the observation group were higher than those in the control group(21.95%,2.44%,and 85.37%,respectively).The incidence of puncture-related complications in the observation group(7.32%) was lower than that in the control group(24.40%).It was found that there were 33 cases of malignant PPMs(accounting for 80.49%),6 cases of inflammation(accounting for 14.63%) and 2 undiagnosable cases(accounting for 4.88%) in the observation group, and 21 cases of malignant PPMs(accounting for51.22%),14 cases of inflammation(accounting for 34.15%) and 8 undiagnosable cases(accounting for 19.51%) in the control group.There was a statistically significant difference between the two groups in pathological results(P<0.05).Conclusion For patients with PPMs undergoing core needle biopsy, ultrasonic contrast + ultrasound guidance can reduce puncture-related complications, accurately identify benign and malignant PPMs, and is of positive effects on early diagnosis of the disease. Besides, this diagnosis method is conducive to improving prognosis, and therefore it is worthy of promotion.

关 键 词：超声造影 超声引导 外周型肺肿块 穿刺活检 并发症 

分 类 号：R445.1[医药卫生—影像医学与核医学]