超声引导穿刺活检对肺肿瘤的诊断价值  

Diagnostic value of ultrasond - guided biopsy for pulmonary cancer

作　　者：张钧[1] 赵芳[1] 高秀娟[1] 

机构地区：[1]吉林省肿瘤医院,长春130012

出　　处：《实用肿瘤学杂志》2003年第2期122-124,共3页Practical Oncology Journal

摘　　要：目的 对其他检查方法不能做出定性诊断的肺肿瘤进行超声引导穿刺活检,探讨该方法对肺肿瘤的诊断价值。方法 经胸超声检查确认肿瘤,并设定穿刺途径,采用日本八光21G PTC针,美国Bard自动活检枪和18G切割针。结果 80例全部接受针吸细胞学检查,其中40例并接受组织学检查。细胞学检查诊断正确率为82.50％(66例),组织学检查诊断正 确率为90％(36例)。二种方法互补诊断正确率92.50％(74例)。组织定性诊断正确率95％(76例)。并发症4例(5％),其中气胸1例,咳血3例(3.75％),无严重并发症发生。结论 超声引导穿刺活检对肺肿瘤的定性诊断为临床治疗提供了依据,有较高临床应用价值。Objective To evaluate the value of ultrasound-guided biopsy in diagnosing of those pulmonary lesings that can' t be diagnosed by other examinations. Methods We indentified the tumors in the lung using ultrasound and determined the routine of guidance by perform fine-needle biopsy for the cytologic examination with 21 G PTC Nedle(Blakko, Japan) in 80 cases, and obtained adequate tissue for histologic examination with automatic biopsy gun and 18G tru-cut needle(Bard American) in 40 rase. Results The accuracy of cytologic examination was 82.5% (66 cases) , and the accuracy of histologic examination was 90% (36 cases) . When these two methods were combined, the accuracy was up to 92.5% (74 cases) , and 74 cases (95% ) got the right pathologic classification. Complications appeared in 4 cases(5%), including 1 case pneumothorax, and 3 cases hemoptysis. No serious complication occurred. Conclusions Differentiating diagnosis of the pulmonary tumors with ultrasound-guided biopsy can provide evidences for the clinic to make therapeutic plans, which has important clinical values.

关 键 词：肺肿瘤 超声引导穿刺 活检 诊断价值 细胞学检查 

分 类 号：R734.2[医药卫生—肿瘤] R730.4[医药卫生—临床医学]