经皮超声引导下肺外周型占位性病变穿刺活检60例 |
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引用本文: | 李小鹏,李友芳,杨栓盈,董西林. 经皮超声引导下肺外周型占位性病变穿刺活检60例[J]. 陕西医学杂志, 2009, 38(1): 106-107 |
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作者姓名: | 李小鹏 李友芳 杨栓盈 董西林 |
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作者单位: | 西安交通大学医学院第二附属医院超声研究室,西安,710004 |
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摘 要: | 目的:探讨经皮超声引导下肺外周型占位性病变穿刺活检的临床应用价值。方法:对60例经X线及CT等影像学检查并为超声能显示的肺占位性病变的患者,进行超声引导下穿刺及病理组织检查确诊。结果:良性18例,恶性42例,经与手术切除后病理结果对照,组织病理学符合者53例(89.8%),有4例假阴性(6.84%),3例为坏死组织,未获得明确病理诊断结果。60例中,用18G活检针37例,能获得明确组织病理学结果30例,6例因标本破碎量少而影响诊断;用21G活检针23例,19例获得了明确病理诊断结果。发生并发症5例(8.3%),其中气胸2例,轻度咯血或痰中带血3例。结论:经皮穿刺肺活检诊断阳性率达80%~90%。适用于经体检、胸部X线片、痰检及纤维支气管镜等检查仍未能明确诊断的肺部外周型病灶。
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关 键 词: | 肺肿瘤/诊断 超声检查 活组织检查,针吸 对比研究 |
Clinical volue of percutaneous ultrasound-guided lung biopsy Department of Ultrasound ,the Second Affiliated Hospital of Medical |
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Affiliation: | Li Xiaopeng, Li Youfang ,Yang Shuanying ,et al (Department of Ultrasound ,the Second Affiliated Hospital of Medical College ,Xi' an Jiaotong University ,Xi' an 710004) |
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Abstract: | Objective:To investigate the clinical volue of percutaneous ultrasound-guided lung biopsy. Methods: 60 patients with X-ray, CT and ultrasound examination to show the lung lesions of patients, ultrasound-guided puncture inspection, a pathological diagnosis. Results: 18 cases of benign and malignant 42 cases, with the pathology results after surgical resection histopathology, with 53 cases (89.8%), four official holidays negative (6.84 percent), two cases of necrotic tissue, could not be clearly pathological Diagnosis. 60 cases, with 18 G needle biopsy in 37 cases, can be clearly pathological results of 30 cases, six cases were broken due to less affected diagnosis by 21 G biopsy needle in 23 cases, 19 cases were a clear diagnosis results. Complications occurred in 5 cases (8.3M), including two cases of pneumothorax, mild bemoptysis three cases of blood or sputum. Conclusion: Diagnosis rate of percutaneous lung biopsy is 80% to 90%. Apply mainly to: physical examination, chest film, smear-and fiber, such as bronchoscopy examination failed to clear diagnosis of pulmonary lesions. |
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Keywords: | Lung neoplasms/diagnosis Ultrasonography Biopsy needle Comparative study |
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