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目的超声引导下经皮肺穿刺活检,肺部占位病变的效果观察。方法对90例肺病变患者先进行超声,观察肿块大小、结构、血管分布以及毗邻脏器血管,确定最佳穿刺点、穿刺角度以及进针深度。行彩超引导下经肺穿刺活检,同一患者不同位点取材2或3次,进行病理组织学检查。结果 90例患者中86例(95.56%)患者一次性穿刺成功,4例患者再次穿刺成功。恶性肿瘤患者肺穿刺组织病理诊断中腺癌、鳞癌为主,小细胞癌、肉瘤样癌、转移癌患者较少。术后随访6个月,以随访的诊断结果为准,肺穿刺组织病理诊断的有效率为97.78%(88/90),有2例非恶性肿瘤患者肺穿刺诊断为阳性。结论超声引导下经皮肺穿刺活检,确诊率较高,提供了可靠的组织学依据,在肺部占位病变中为一种理想的诊断手段。
Objective To observe the effect of ultrasound-guided percutaneous lung biopsy and pulmonary space-occupying lesions. Methods Totally 90 patients with pulmonary lesion were sonicated first, and the size, structure, distribution of blood vessels and adjacent vessels were observed. The best puncture point, puncture angle and depth of needle were determined. Color ultrasound guided lung biopsy under the same patient different sites drawn 2 or 3 times for histopathological examination. Results Totally 86 cases (95.56%) of 90 patients were successfully punctured at one time, and 4 patients were punctured again. Malignant lung cancer patients with pathological diagnosis of adenocarcinoma, squamous cell carcinoma, small cell carcinoma, sarcomatoid carcinoma, less metastatic cancer patients. The follow-up of 6 months postoperatively was based on the follow-up diagnosis. The effective rate of pathological diagnosis of lung puncture was 97.78% (88/90). There were 2 cases of non-malignant tumor diagnosed as pulmonary puncture positive. Conclusion Ultrasound-guided percutaneous lung biopsy, a high rate of diagnosis, providing a reliable histological basis for occupying the lung lesions is an ideal diagnostic tool.