实用肿瘤学杂志 ›› 2012, Vol. 26 ›› Issue (5): 449-451.doi: 10.3969/j.issn.1002-3070.2012.05.014

• 论著 • 上一篇    下一篇

彩色多普勒超声介导周围型肺占位穿刺活检的临床应用

荆慧, 程文, 韩雪, 孙一欣, 邵华   

  1. 哈尔滨医科大学附属第三医院超声科(哈尔滨 150081)
  • 收稿日期:2011-08-26 出版日期:2012-05-25 发布日期:2012-10-29
  • 通讯作者: 程文,E-mail:chengwen69@yahoo.com
  • 作者简介:荆慧,女,(1980-),硕士,主治医师,从事超声分子影像学研究

Clinical application of ultrasound-guided puncture biopsy for peripheral occupying lesions of lung

JING Hui,CHENG Wen,HAN Xue,SUN Yixin,SHAO Hua   

  1. Department of Ultrasound,The Third Affiliated Hospital of Harbin Medical University,Harbin 150081,China
  • Received:2011-08-26 Online:2012-05-25 Published:2012-10-29

摘要: 目的 观察彩色多普勒超声介导下穿刺活检对肺周围型占位性病变的安全性及诊断准确性,探讨该方法在临床中的应用价值。方法 在彩色多普勒超声引导下,应用自动活检装置对97例经CT检查显示为周围型肺占位病变患者进行穿刺活检。结果 取材成功率98.9%;93例获得正确诊断,组织病理学符合率95.9%;恶性71例,良性25例,其中假阴性3例,假阴性率4.1%(3/74);1例因取材量不足而无法做出病理诊断。结论 彩超介导下周围型肺占位病变的穿刺活检具有操作简便,成功率高,安全性好等优点,值得临床推广应用。

关键词: 超声, 周围型肺占位, 自动活检

Abstract: Objective To investigate the security and diagnostic accuracy of ultrasonic-guided biopsy for peripheral occupying lesions of lung,and evaluate the clinical value of this method.Methods 97 patients with peripheral pulmonary space occupying lesions by CT were performed ultrasound-guided puncture biopsy,through automatic biopsy device.Results The success rate of puncture drawing materials was 98.9%.93% cases acquired accurate diagnosis,and the pathological correspondant rate was 95.9%.71 cases were malignancy,with 25 cases benign.There were 3 cases showing a false-negative result.The false-negative rate was 4.1%.1 case of material was not enough to make pathology diagnosis.Conclusion Ultrasound-guided percutaneous automatic biopsy is a simple,safe and effective method for the diagnosis of peripheral pulmonary space occupying diseases.It is worth to be widely used.

Key words: Ultrasound, Occupying lesion of peripheral lung, Automatic biopsy

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