摘要
目的探讨超声引导下经皮肺穿刺活组织检查（简称活检）肺周围型病变的应用价值。方法选择昆明市延安医院肺部疾病患者161例，其中男性112例，女性49例；年龄14～78岁，平均年龄53．0岁。行超声引导下经皮肺穿刺活检．分析取材满意程度及并发症发生情况。结果161例病灶均穿刺成功．成功率100％，确诊病灶158例．确诊率98％。肺结核43例：肺癌及转移性肺癌91例．其中腺癌34例，鳞癌42例，支气管肺泡癌2例，大细胞肺癌4例．小细胞肺癌3例．淋巴瘤3例，间皮瘤3例；肺炎性病变24例，其中培养出耐酶金黄色葡萄球菌2例，隐球菌2例，绿脓杆菌9例，曲霉菌3例，大肠埃希氏菌3例，鲍曼不动杆菌2例，3例培养无阳性结果。并发气胸1例（0．6％）．咳血35例（21．7％）。结论超声引导下经皮肺穿刺活检肺周围型病变病理组织阳性率高，取材满意率高，并发症少，是一种安全、可靠的确诊手段．值得临床推广。
Objective To analyze the application value of ultrasound-guided biopsy in peripheral pulmonary. Methods A total of 161 patients with lung disease were enrolled, which included 112 males and 49 females, aged 14 - 78 years old with mean age of 53.0 years old. All of them were performed ultrasound-guided biopsy in peripheral pulmonary, and the removal satisfaction and complica- tions were analyzed. Results A total of 161 cases of lesions were punctured with 100 % success rate. The 158 cases were diagnosed lesions with 98 % diagnosis rate. Tuberculosis was 43 cases; Lung cancer and metastatic lung cancer was 91 cases, of which 34 with adenocarcinoma, 42 with squamous cell carcinoma, 2 with bronchial alveolar carcinoma, 4 with large cell lung cancer, 3 with small cell lung cancer, 3 with lymphoma and 3 with mesothelioma; The inflammatory lesions was 24 cases, of which 2 with resistant Staphy- lococcus aureus, 2 with Cryptococcus, 9 with Pseudomonas aeruginosa, 3 with A spergillus, 3 with Escherichia coli and 2 with A cine- tobacter baumannii, 3 without positive results. There were occurred pneumothorax in 1 case（0.6 %） and 35（21.7 %） of hemoptysis. Conclusion It is demonstrated that ultrasound-guided biopsy in peripheral pulmonary shows advantages of high positive rate, high satisfaction rate and low complication rate, so it is a safe, reliable and effective means of diagnosis, which is worthy to promote.
出处
《生物医学工程与临床》
CAS
2016年第2期162-164,共3页
Biomedical Engineering and Clinical Medicine
关键词
超声引导
经皮肺穿刺
病理学
肺周围型病变
ultrasound-guided
percutaneous lung puncture
pathology
peripheral lung lesions
