肺周围型占位病变高频超声引导穿刺活检195例分析
High-frequency ultrasound-guided needle biopsy in 195 cases of peripheral space-occupying lesions in the lung
李名巧 1郑怀玉2
作者信息
- 1. 湖北省阳新县人民医院超声影像科 湖北黄石 435200
- 2. 湖北省阳新县人民医院呼吸与危重症医学科 湖北黄石 435200
- 折叠
摘要
目的:分析肺周围型占位病变患者高频超声引导穿刺活检及诊断情况.方法:选取 195例肺周围型占位病变患者,回顾其临床资料及穿刺结果,与术后病理结果对照.结果:195 例患者穿刺活检总有效率为 90.26%,并发症总发生率为 5.64%;不同穿刺部位、病灶大小、穿刺角度的患者穿刺活检有效率比较,差异有统计学意义(P<0.05);176例穿刺成功的患者中 170例术后病理结果与术前穿刺病理结果一致.结论:高频超声引导穿刺活检用于诊断肺周围型占位病变安全、有效,且与术后病理一致性较好,可作为肺周围型占位病变早期诊断的首选方法.
Abstract
Objective:To analyze high-frequency ultrasound-guided needle biopsy and diagnosis of patients with peripheral space-occupying lesions in the lung.Methods:The clinical data and needle biopsy results of 195 patients with peripheral space-occupying lesions in the lung were analyzed retrospectively.A comparison with postoperative pathological results was made.Results:The total effective rate of needle biopsy in this study was 90.26%and the total incidence of complications was 5.64%.There were statistically significant differences in the effective rate of needle biopsy between patients with different puncture sites,different lesion sizes and different puncture angles(P<0.05).Among 176 patients who underwent successful puncture,170 had postoperative pathological results consistent with preoperative biopsy results.Conclusion:High-frequency ultrasound-guided needle biopsy is safe and effective in the diagnosis of peripheral space-occupying lesions in the lung.Besides,consistency with postoperative pathology is good.It can be used as the preferred method for early diagnosis of peripheral space-occupying lesions in the lung.
关键词
肺周围型占位病变/肺癌/高频超声/穿刺活检/并发症/诊断Key words
Peripheral space-occupying lesions in the lung/Lung cancer/High-frequency ultrasound/Needle biopsy/Complication/Diagnosis引用本文复制引用
出版年
2024