肺肿块超声引导穿刺活检与超声声像分析

发布时间：2018-01-05 17:12

本文关键词：肺肿块超声引导穿刺活检与超声声像分析　出处：《实用医学杂志》2017年18期 　论文类型：期刊论文

【摘要】：目的分析肺肿块超声引导经皮肺肿块穿刺活检结果及超声声像图特点,探讨超声引导穿刺活检以及超声检查在肺肿块良恶性诊断中的应用价值。方法对109例经X线及CT检查发现的周围型肺部肿块及中央型肿块伴肺实变患者应用超声引导经皮穿刺活检,分析患者穿刺活检病理结果、穿刺活检成功率,穿刺并发症以及超声声像图特征。结果 109例穿刺活检者,周围型肿块98例,中央型肿块伴肺实变9例,其中恶性病变81例(74.3%),良性病变26例(23.9%),2例不能成功取材(1.8%),余107例患者均一次取材成功(98.2%)。109例穿刺患者中,5例出现咯血(4.5%),其他无不适。超声声像图表现:良性病变多边界清楚、回声均匀,恶性病变多边界不清、回声不均匀(χ~2=2.422,P0.05),但二者有一定交叉;恶性肿块较良性肿块大(t=1.58,P0.05),但良恶性病变径线比较有一定交叉;恶性病变血流多较丰富而良性病变多为少血供或无血供(χ~2=8.471,P0.05),但二者也有一定交叉。结论超声引导经皮肺肿块穿刺活检安全可靠,简便易行,对确定病理分型具有重要意义。超声声像图在肺周围型肿块及伴实变中央型肿块的良、恶性鉴别中具有一定特征性。
[Abstract]:Objective to analyze the lung tumor ultrasound guided percutaneous lung biopsy results and ultrasonographic characteristics, to explore the application value of ultrasound guided biopsy and ultrasound in the diagnosis of benign and malignant tumors in the lung. Methods the peripheral pulmonary tumors and central type tumors in 109 cases by X-ray and CT findings with pulmonary consolidation with ultrasound guided percutaneous puncture biopsy, needle biopsy results were analyzed, the success rate of puncture biopsy, complications and ultrasonographic features. Results 109 cases of biopsy, peripheral tumors in 98 cases of central type tumor with pulmonary consolidation in 9 cases, including 81 cases of malignant lesions (74.3%), 26 cases of benign lesions (23.9%), 2 cases (1.8%) were not successful, more than 107 cases of patients were biopsied successfully (98.2%).109 cases patients, 5 cases of hemoptysis (4.5%), other discomfort. Ultrasonographic manifestations: benign lesions with clear boundary and back The sound of uniform, malignant lesions are often unclear boundary, uneven echo (~2=2.422, P0.05), but the two have a certain cross; malignant tumors than that in benign masses (t=1.58, P0.05), but the diameter of benign and malignant lesions had cross; malignant lesions more than blood rich and benign lesions as little more blood for with or without blood supply (x ~2=8.471, P0.05), but the two also have a cross. Conclusion ultrasound guided percutaneous lung biopsy is safe and reliable, simple, is very important in determining the pathological type. Ultrasonography in peripheral pulmonary nodules and consolidation with central type of benign masses, has a certain characteristics of malignant tumors.

【作者单位】：海南省妇幼保健院超声科;海南省人民医院超声科;
【基金】：海南省自然科学基金(编号:20158292)
【分类号】：R445.1;R734.2
【正文快照】： 以往,肺部肿块主要诊断手段为放射线检查,但是,随着超声技术的发展及检查手段的丰富,其在肺部肿块检查中的应用逐渐得到重视[1-4]。本研究旨在探讨超声引导经皮肺穿刺活检及超声检查声像图特点在肺肿块良恶性诊断中的应用价值。1材料与方法1.1一般资料选择海南省人民医院2014

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