超声引导下胸膜腔内肿块穿刺活检的临床应用

目的探讨超声引导下对胸膜腔内肿块作细胞学和组织学检查的穿刺方法及其临床价值。方法经超声或CT或/和MRI发现的88例94个胸膜腔内肿块,在超声引导下穿刺作细胞学检查和组织学活检,单一作细胞学穿刺的30个肿块,单一作组织学穿刺的64个肿块,其中36个肿块在作组织学穿刺检查的同时作细胞学穿刺检查。结果本组58个肿块作细胞学检查和组织学检查的病理阳性率为91.37%,36个肿块同时作细胞学检查和组织学检查的病理阳性率为97.22%。结论(1)超声引导下胸膜腔内肿块穿刺作细胞学和组织学检查方法简便、易行、直观,并发症少;(2)若对肿块穿刺同时作细胞学和组织学检查可明显提高病理的阳性率和穿刺的成功率,该项技术具有重要的临床价值。

Clinical Application of US-guided Needle Aspiration Biopsy in Pleural Cavity Tumor

Objective To probe into how to adopt cytology and histology examination for pleural cavity tumor in needle aspiration ways led by ultrasound and its clinical value.Methods 94 pleural tumor out of 88 cases found through ultrasound or CT or MRI took the needle aspiration led by ultrasound for cytology examination and histology biopsy.Among them,30 tumors took cytology aspiration and 64 took histology biopsy;besides,36 tumors of 94 took both cytology aspiration and histology biopsy.Results 58 tumors of the group taking cytology examination or histology biopsy turned out to be positive in pathology,its rate up to 91.37%;and 36 tumors,both taking cytology examination and histology biopsy,the positive rate up to 97.22%.Conclusions (1)The way of using needle aspiration led by ultrasound to take cytology and histology examination for pleural cavity tumor is convenient,easy to be observed,and of less complication.(2)If needle aspiration combined with cytology and histology examination,the positive rate in pathology and successful rate in the needle aspiration will be obviously improved.So this technique has important clinical value.