肺周围型占位病变高频超声引导穿刺活检195例分析  

High-frequency ultrasound-guided needle biopsy in 195 cases of peripheral space-occupyinglesions in the lung

作　　者：李名巧 郑怀玉 Li Mingqiao;Zheng Huaiyu(People's Hospital of Yangxin County,Huangshi 435200,China)

机构地区：[1]湖北省阳新县人民医院超声影像科,湖北黄石435200 [2]湖北省阳新县人民医院呼吸与危重症医学科,湖北黄石435200

出　　处：《现代科学仪器》2024年第5期74-77,共4页Modern Scientific Instruments

摘　　要：目的:分析肺周围型占位病变患者高频超声引导穿刺活检及诊断情况。方法:选取195例肺周围型占位病变患者,回顾其临床资料及穿刺结果,与术后病理结果对照。结果:195例患者穿刺活检总有效率为90.26%,并发症总发生率为5.64%;不同穿刺部位、病灶大小、穿刺角度的患者穿刺活检有效率比较,差异有统计学意义(P<0.05);176例穿刺成功的患者中170例术后病理结果与术前穿刺病理结果一致。结论:高频超声引导穿刺活检用于诊断肺周围型占位病变安全、有效,且与术后病理一致性较好,可作为肺周围型占位病变早期诊断的首选方法。Objective:To analyze high-frequency ultrasound-guided needle biopsy and diagnosis of patients with peripheral space-occupying lesions in the lung.Methods:The clinical data and needle biopsy results of 195 patients with peripheral space-occupying lesions in the lung were analyzed retrospectively.A comparison with postoperative pathological results was made.Results:The total effective rate of needle biopsy in this study was 90.26%and the total incidence of complications was 5.64%.There were statistically significant differences in the effective rate of needle biopsy between patients with different puncture sites,different lesion sizes and different puncture angles(P<0.05).Among 176 patients who underwent successful puncture,170 had postoperative pathological results consistent with preoperative biopsy results.Conclusion:High-frequency ultrasound-guided needle biopsy is safe and effective in the diagnosis of peripheral space-occupying lesions in the lung.Besides,consistency with postoperative pathology is good.It can be used as the preferred method for early diagnosis of peripheral space-occupying lesions in the lung.

关 键 词：肺周围型占位病变 肺癌 高频超声 穿刺活检 并发症 诊断 

分 类 号：R563[医药卫生—呼吸系统]