彩色多普勒超声引导自动穿刺活检在周围型肺肿块及胸膜病变中的应用

目的探讨彩色多普勒超声引导下穿刺活检技术在胸部病变诊断中的作用。方法对45例经X线和(或)CT检查发现肺周围性实质性病变或胸膜病变患者,先观察二维图像及彩超表现,再行超声引导下穿刺活检,送病理检查。结果45例患者,肺周围型病变27例,胸膜病变18例。一次穿刺成功44例,成功率97.8%。其中,恶性肿瘤19例,包括转移性肺母细胞瘤1例,鳞癌9例,腺癌7例,恶性间皮瘤1例,血管肉瘤1例;良性病变26例,包括炎症17例,结核4例,出血性梗死1例,放线菌病1例,结节病1例;无明显病变2例。结论彩超引导下穿刺活检是一种微创、快速、安全、简便的方法,对于肺周围性病变或胸膜病变的确诊具有重要作用。

Color Doppler flow imaging guided percutaneous biopsy in peripheral pulmonary nodules and pleural masses

Objective To explore the effects of CDFI guided percutaneous biopsy in peripheral pulmonary nodules and pleural masses. Methods Forty-five patients were applied with ultrasonically guided percutaneous biopsy who were detected by X-ray and/or CT, and then analyzed by pathology. Results There were 27 patients with concrete lesion around lung and 18 patients in pleura. Forty-six (97.8%) of them were applied with percutaneous biopsy successfully for one time. Nineteen of them were malignant, 24 of them were benign disease. Conclusion Ultrasonically guided percutaneous biopsy is a mininvasive, fast, safe and easy method, and it is important for patients with concrete lesion around lung or in pleura.