摘要
目的讨论研究彩超引导下经皮肺穿刺活检在胸腔周围型实性占位性病变鉴别诊断中的应用。方法 102例胸腔周围型实性占位性病变患者,均进行彩超引导下经皮肺穿刺活检,将所得结果与病理诊断结果进行比较,观察取材成功率及并发症发生情况、诊断情况。结果 102例患者均取材1~3次,取材成功率为100.0%(112/112);术后发生气胸7例,出血5例;明确诊断91例,确诊率为89.2%(91/102)。结论应用彩超引导下经皮肺穿刺活检技术对胸腔周围型实性占位性病变进行鉴别诊断具有诊断率高、患者创伤小且检测后并发症发生率较低的优势,该技术操作简单,价格低廉且安全有效,可为临床鉴别与诊断疾病及制定治疗方案提供客观、科学的依据。
Objective To discuss and study the application of color Doppler ultrasound guided percutaneous lung biopsy in the differential diagnosis of perithoracic solid space-occupying lesions. Methods A total of 102 patients with perithoracic solid space-occupying lesions all received color Doppler ultrasound guided percutaneous lung biopsy. The results were compared with the pathological diagnosis results, and the success rate of sampling, occurrence of complications and diagnosis were observed. Results All 102 patients were sampled 1 to 3 times, with a success rate of 100.0%(112/112);there were 7 cases of postoperative pneumothorax and 5 cases of bleeding;91 cases were definitely diagnosed, and the diagnosis rate was 89.2%(91/102). Conclusion The application of color Doppler ultrasound-guided percutaneous lung biopsy has the advantages of high diagnosis rate, low patient trauma and low incidence of complications after detection for the differential diagnosis of solid perithoracic space-occupying lesions. This technology is simple to operate and low in price. It is safe and effective, and can provide an objective and scientific basis for clinical identification and diagnosis of diseases and formulating treatment plans.
作者
姜磊
JIANG Lei(Department of Respiratory and Critical Care Medicine,Seventh Division Hospital of Xinjiang Production and Construction Corps,Kuitun 833200,China)
出处
《中国实用医药》
2020年第34期30-32,共3页
China Practical Medicine
关键词
彩超
经皮肺穿刺活检
胸腔周围型实性占位性病变
鉴别与诊断
准确率
并发症
Color Doppler ultrasound
Percutaneous lung biopsy
Perithoracic solid space-occupying lesions
Differential diagnosis
Accuracy
Complications
