癌症进展2024,Vol.22Issue(7) :723-726.DOI:10.11877/j.issn.1672-1535.2024.22.07.07

超声引导下穿刺活检联合超声造影对周围型肺癌的诊断价值及安全性

Diagnostic value and safety of ultrasound-guided puncture biopsy combined with contrast-enhanced ultrasound for peripheral lung cancer

李玲 翟渊鹏 邵玉 李潜
癌症进展2024,Vol.22Issue(7) :723-726.DOI:10.11877/j.issn.1672-1535.2024.22.07.07

超声引导下穿刺活检联合超声造影对周围型肺癌的诊断价值及安全性

Diagnostic value and safety of ultrasound-guided puncture biopsy combined with contrast-enhanced ultrasound for peripheral lung cancer

李玲 1翟渊鹏 1邵玉 1李潜1
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作者信息

  • 1. 郑州大学附属肿瘤医院超声科,郑州 450008
  • 折叠

摘要

目的 探讨超声引导下穿刺活检联合超声造影对周围型肺癌的诊断价值及安全性.方法 选取193例疑似周围型肺癌患者,均行超声引导下穿刺活检及超声造影,以手术病理检查结果为金标准,分析超声引导下穿刺活检、超声造影单独及联合检查对周围型肺癌的诊断价值,比较两种检查方法的并发症发生情况.结果 病理结果显示,193例疑似周围型肺癌患者中,阳性132例,阴性61例.超声引导下穿刺活检诊断阳性114例,阴性79例;超声造影诊断阳性121例,阴性72例;二者联合检查诊断阳性129例,阴性64例.超声引导下穿刺活检、超声造影联合检查诊断周围型肺癌的灵敏度、特异度、准确度、阳性预测值、阴性预测值均高于二者单独检查.超声引导下穿刺活检并发症总发生率为3.11%,与超声造影检查的2.07%比较,差异无统计学意义(P>0.05).结论 超声引导下穿刺活检、超声造影联合检查对周围型肺癌的诊断价值较高,二者联合检查能提高诊断效能,且安全性较好.

Abstract

Objective To explore the diagnostic value and safety of ultrasound-guided puncture biopsy combined with contrast-enhanced ultrasound for peripheral lung cancer.Method A total of 193 patients with suspected peripheral lung cancer were selected,all patients underwent ultrasound-guided puncture biopsy and contrast-enhanced ultrasound ex-amination.The surgical pathological examination results was used as the gold standard,the diagnostic value of ultrasound-guided puncture biopsy and contrast-enhanced ultrasound single and combined examination for peripheral lung cancer were analyzed,and the incidence of complications between the two examination methods were compared.Result The pathological results showed that,in 193 suspected peripheral lung cancer patients,132 were positive and 61 were nega-tive.A total of 114 cases were diagnosed as positive and 79 cases were diagnosed as negative by ultrasound-guided punc-ture biopsy,and 121 cases were diagnosed as positive and 72 cases were diagnosed as negative by contrast-enhanced ultra-sound,and 129 cases were diagnosed as positive and 64 cases were diagnosed as negative by combining of the two exami-nations.The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of ultrasound-guid-ed puncture biopsy combined with contrast-enhanced ultrasound examination in diagnosing peripheral lung cancer were higher than those of the single examination.The total incidence of complications during ultrasound-guided puncture biop-sy was 3.11%,which was not statistically significant compared to 2.07%in contrast-enhanced ultrasound examination(P>0.05).Conclusion The combination of ultrasound-guided puncture biopsy combined with contrast-enhanced ultrasound has high diagnostic value for peripheral lung cancer,and the combined examination can improve diagnostic efficiency and safety.

关键词

超声引导下穿刺活检/超声造影/周围型肺癌/诊断价值/并发症

Key words

ultrasound-guided puncture biopsy/contrast-enhanced ultrasound/peripheral lung cancer/diagnostic val-ue/complication

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基金项目

河南省科技发展计划(2023)(232102311018)

出版年

2024
癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
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