摘要
目的探讨B型超声引导下胸膜活检在疑恶性胸腔积液病因诊断中的价值。方法选常规胸膜活检A组40例,B超引导下胸膜活检患者40例为B组,活检后的标本送病理检查。结果A组患者病理确诊率65%(26/40),未检出者有14例,阴性率为35%(14/40);两组比较,P<0.05,具有统计学意义。B组患者活检病理确诊为肿瘤34例,3例确诊为结核,总检出率为92.5%(37/40),未检出者有3例,阴性率7.5%(3/40)。结论胸腔积液病因诊断用B型超声引导下胸腔活检术优于常规胸膜活检术,能提高确诊率和检出率,其方法简单、安全、实用性强,值得推广使用。
Objective To investigate the diagnostic value in suspected malignant pleural effusion （SMPE） of ultrasound of B type guided pleural biopsy（UGPB）. Methods A total of 40 cases of SMPE using routine pleural biopsy （RPB） was served as Group A, and another 40 cases using UGPB served as Group B. The samples of both groups after operation were sent to pathology department for living pathological diagnosis. Results For Group A,the accuracy rate was 65% （26/40） ,and the negative rate Was 35% （14/40）. For Group B,the accuracy rate Was 92.5% （37/40）. Among the 37 cases,34 were diagnosed as malignant pleural disease and 3 as pulmonary tuberculosis. The negative rate was 7.5 % （3/40）. Conclusions Use of UGPB in SMPE patients is better than RPB. UGPB increases accuracy rate. It is easy to use, safe, practical and worthy of being widely used.
出处
《医学信息（内.外科版）》
2009年第6期487-488,共2页
Medical Information Operations Sciences Fascicule
关键词
B型超声引导
恶性胸腔积液
胸膜活检术
ultrasound B type guided
suspected malignant pleural effusion
pleural biopsy
