B型超声辅助X线对肺癌诊断的探讨(附216例分析)  

Diagnostic Study of B-Mode Ultrasound Assisting X-ray for Lung Cancer (Analysis of 216 Cases)

作　　者：王宏德[1] 贾译清[1] 施的美[1] 

机构地区：[1]江苏省肿瘤防治研究所

出　　处：《实用放射学杂志》1992年第4期199-203,共5页Journal of Practical Radiology

摘　　要：笔者用B型超声显像诊断216例经病理证实的周围型肺癌.病灶最浅在胸膜下,最深距胸膜7cm。初步提出超声诊断肺癌的特征为:(1)强光彗尾征。(2)边界分叶征。(3)满天星征。(4)倒影征。(5)肿块伴有侵犯附近心包大血管或胸膜。(6)纵隔旁肿大的多个淋巴结群内见肺肿块。(7)在肺不张内隐藏有肿块伴有较多胸水或肺门旁肿块伴有同侧肺门淋巴结增大和较多胸水。上述一项征象可提示诊断,2项以上征象可确诊,并讨论了超声诊断的价值和限制。笔者认为超声检查可补充X线检查的不足,能辅助X线对肺癌的诊断。216 patients with pathological confirmed cancer of periphery lung were diagnosed by B-Mode ultrasonographie image. The subpleural focus and the deepest focus located 7cm distant to pleura could be detected. Sonographic characterestics of diagnosis of lung cancer were:(1) Cometic tail pattern of strong echo. (2) Lobulated border pattern. (3) Starry sky pattern. (4) Inverted image pattern. (5) Mass with involvement of the adjacent pericardium major vessel or the pleura. (6) Lung mass showed among enlarged lymph nodes in the paramediastinum. (7) Mass hid in the atelectatie lung with larger amount of pleural fluid or the parahilar mass with isolateral enlargement of the hilar nodes and large amount of pleural fluid. One of the aforementioned features could suggest diagnosis of lung cancer and two or more features could correctly diagnose lung cancer.The value and limitation of ultrasonic diagnosis were discussed. Ultrasonic examination could complement the deficiency of X-ray and could assist X-ray diagnosis in lung cancer.

关 键 词：超声检查 肺肿瘤 X线诊断 

分 类 号：R734.204[医药卫生—肿瘤]