超声引导经皮肺穿刺在周围型肺部病变诊断中的价值

目的 探讨超声引导经皮肺穿刺在周围型肺部病变诊断中的临床应用价值及安全性。方法 选取我院173例肺周围型病变的患者，其中男性108例，在超声引导下行穿刺细胞学和组织病理学活检，分析活检的临床价值和并发症情况。结果 所有病例在超声引导下均穿刺成功。经细胞学和组织病理学综合诊断166例，其中恶性肿瘤91例，炎性、肺结核及其他良性病变75例。仅22例发生轻微并发症，其中出血9例，气胸13例。结论 超声实时引导肺周围型病变穿刺活检是一项有效、安全的诊断措施。

Clinical application of ultrasound-guided percutaneous lung biopsy in peripheral pulmonary masses

Objective To study the clinical value and complications of ultrasound-guided lung biopsy in diagnosis of periph-eral pulmonary masses. Methods One hundred and seventy-three cases with peripheral pulmonary masses were enrolled and directly applied percutaneous lung biopsy using needle aspiration under ultrasound guiding after examining. Biopsy samples were performed by cytology and histopathological examination. Results Successful procedures were performed in all cases. Masses were found by both cy-tological and histological examination with diagnostic accuracy rate of 96.0%（ 166/173） . Biopsy-related complications occurred in 22 patients, including blooding in 9 patients（ 5.2%） and pneumothorax in 13（ 7.5%） . Conclusion Ultrasound-guided percutaneous pe-ripheral pulmonary lesions biopsy is a safe and effective tool in the diagnosis and management of peripheral pulmonary disease.