摘要
目的评价超声引导下经皮肺穿刺活检术诊断边缘性肺病变的临床应用价值,探讨其技术要点以及如何减少并发症。方法回顾性分析98例接受超声引导下经皮肺穿刺活检术的边缘性肺病变患者资料。结果对98例均采用18G穿刺活检针取材,其中腺癌41例,鳞状细胞癌27例,小细胞型未分化癌9例,肾细胞癌肺转移2例,肺结核8例,肺脓肿5例,未取得有效组织6例,取材结果阳性率为93.88%（92/98）;平均进针2.3次/例,进针深度1.8~5.7 cm,取材长度0.3~2.0 cm;穿刺中及穿刺后出现的并发症包括胸膜反应4例、气胸1例、术后痰中带血2例。结论超声引导下经皮肺穿刺活检术是一种安全简便的鉴别诊断方法,可有效提高边缘性肺病变的诊断准确率。
Objective To observe the clinical application value and technical essentials,and the best way for increasing success rates and avoiding complications of ultrasound-guided percutaneous lung biopsy.Methods Retrospective analysis of 98 patients with peripheral pulmonary lesions who underwent ultrasound-guided percutaneous lung biopsy was performed.Results Successful procedures were performed in all the patients with 18G core needles.Positive diagnosis was established in 93.88%（92/98） of the diagnostic materials.The average aspiration sessions needed for each patient were 2.3 times and aspiration depths were 1.8—5.7 cm with 0.3—2.0 cm variations of the specimens.There were 41 patients with adenocarcinoma,27 with squamous cell carcinoma,9 with small cell lung cancer,2 with renal cancer metastatic to the lung,8 with tuberculosis,5 with abscess,while 6 patients were found to be negative.The complications included pleural reaction in 4 patients,pneumothorax in 1 patient and postoperative blood sputum in 2 patients.Conclusion Ultrasound-guided percutaneous lung biopsy is safe,and offers a high diagnostic rate for the peripheral pulmonary lesions.
出处
《中国介入影像与治疗学》
CSCD
2011年第2期129-131,共3页
Chinese Journal of Interventional Imaging and Therapy
