摘要
目的:总结分析肺、胸膜肿物的超声表现,探讨介入性超声在周围型胸部占位病变中的穿刺取材方法及临床应用价值。方法:在彩超引导下对103例经检查发现有肺周围实性病变及胸膜病变的病人,先行彩色多普勒检查,对肿块的图像特征进行记录,并确认穿刺路径。对病变组织进行彩超引导下穿刺活检,将获取组织送病理。对病理学确诊的63例良性肿物、40例恶性肿物的超声图像特征进行比较分析。结果:103例病人全部穿刺成功,恶性肿瘤检出率为39%,良性肿物检出率为55%,诊断确诊率为94.2%,轻微并发症发生率8.7%。良、恶性肿瘤在肿块及胸膜的形态方面存在差异(P<0.05)。结论:彩超在肺及胸膜肿物的诊断中有较高的应用价值,超声引导下经皮肺活检术为胸部疾病的定性诊断及临床治疗提供了可靠的依据。周围型肺肿物因其生长部位不同而穿刺难度各异,选择最佳的穿刺途径是成功取材的关键。
Objective：To summarize and analyse the ultrasonic feature of tumor in lung and pleura. Explore the puncture method and the value of the clinical application with interventional ultrasound of pulmo peripheral mass. Methods： The total 103 patients with peripheral pulmonary nodules and pleural masses were examined by leading of color Doppler . The features of tumor were described and the puncture route were affirmed by color Doppler ultrasound, biopsy was made with guidance of ultrasound percutaneously,then analysed by pathology. The differences of sonographic feature in 63 benign masses and 40 malignant masses were analysed. Results： They are successful in all of the 103 patients. The maligant tumor was appeared in 39% ,the benign tumor was appeared in 55% ,the diagnostic accuracy was in 94.2% and slight complications were appeared in 8.7%. The appearances have difference between benign tumors and malignant tumors （P 〈 0.05）. Conclusion： Color Doppler ultrasound is useful for diagnosing benign and malignant tumors in lung and pleura. Ultrasound guided percutaneous biopsy of the lung tissues is more advantage and less complications, which provides reliable evidence in diagnosis of thoracopathy and clinical treatment. Because of its different occurring place, the difficulty of the puncture is also different. The key of drawing materials is choosing the best way of puncture.
出处
《内蒙古医学院学报》
2009年第3期209-213,共5页
Acta Academiae Medicinae Neimongol
基金
内蒙古自治区自然科学基金(20010906-11)
关键词
介入性超声
周围型肺、胸膜肿物
自动活检
interventional ultrasound
peripheral lung and pleural tumor
autobiopsy
