超声引导下胸膜活检结合二维超声在良恶性胸膜病变诊断中的应用价值

发布时间：2018-03-19 03:26

本文选题：胸膜病变　切入点：胸膜活检　出处：《中国超声医学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨超声引导下胸膜活检结合二维超声(2DUS)在良恶性胸膜病变诊断中的应用价值。方法回顾性分析193例胸膜病变患者的胸膜活检病理结果、二维超声及临床资料,对比良、恶性胸膜病变的二维超声表现,分析取材成功率及穿刺活检对胸膜良、恶性病变诊断的灵敏度,探讨超声引导下胸膜穿刺活检结合二维超声在胸膜良恶性病变诊断中的应用价值。结果胸膜活检成功率为79.3%(153/193),病理确诊率为84.1%(149/182),其中恶性胸膜病变80.0%,结核性胸膜炎64.8%,胸膜非特异性炎症63.6%。良性组与恶性组胸膜平均厚度分别为(0.61±0.22)cm和(0.74±0.39)cm,两者有统计学意义(P=0.031);良性组与恶性组胸水平均深度分别为(2.95±1.89)cm和(4.42±2.87)cm,两者有统计学意义(P=0.001)。结论良、恶性胸膜病变在2DUS上存在一定的声像学特征,穿刺活检前详细评估其特征可提高胸膜病变超声诊断率和活检阳性率。
[Abstract]:Objective to evaluate the value of ultrasound guided pleural biopsy combined with two-dimensional ultrasound 2DUSin the diagnosis of benign and malignant pleural diseases. Two-dimensional ultrasound findings of malignant pleural lesions. The success rate of sampling and the sensitivity of puncture biopsy in the diagnosis of benign and malignant pleural lesions were analyzed. To explore the value of ultrasound guided pleural biopsy combined with two-dimensional ultrasound in the diagnosis of benign and malignant pleural diseases. Results the successful rate of pleural biopsy was 79.3 / 153 / 193, and the rate of pathological diagnosis was 84.1 / 182 / 149 / 182, among which the malignant pleural lesions were 80.0% and tuberculous pleurisy was 64.8%. The mean pleural thickness of benign group and malignant group was 0.61 卤0.22 cm and 0.74 卤0.39 cm, respectively, which had statistical significance, and the depth of pleural level in benign group and malignant group were 2.95 卤1.89 cm and 4.42 卤2.87 cm, respectively. Malignant pleural lesions have some sonographic features on 2DUS. The detailed evaluation of the features before biopsy can improve the diagnostic rate of pleural lesions and the positive rate of biopsy.
【作者单位】：广西医科大学第一附属医院超声科;
【基金】：2015广西创新计划专项经费项目(No.2015CXJHA002)
【分类号】：R445.1;R561;R734.3

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