超声引导与CT引导穿刺活组织检查对周围型肺结节的诊断价值
| 作者: |
1江思,
2汤庆,
3汤佳馨,
2周大治,
2周兴华
1 广州医科大学附属第一医院健康体检科，广州 510120 2 广州医科大学附属第一医院超声科，广州 510120 3 广州医科大学附属第一医院呼吸内科，广州 510120 |
| 通讯: |
江思
Email: 408045384@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.02.016 |
摘要
目的：比较经超声引导与经CT引导穿刺活组织检查方法对周围型肺结节的诊断价值。方法：对139例周围型肺结节患者行穿刺活组织检查，其中超声组55例，CT组84例，比较两种穿刺方法的穿刺取材成功率、并发症发生率及相关影响因素。结果：经病理学诊断，恶性肿瘤101例，良性病变38例。超声与CT引导穿刺取材成功率分别为94.5%，96.4%。超声引导组并发气胸1例，咯血3例，胸痛1例；CT组并发气胸12例，咯血4例，咳嗽3例，胸痛3例，肿瘤出血2例，差异有统计学意义(P<0.05)。结论：超声引导下经皮肺穿刺安全、简便、有效且易操作，是诊断周围型肺结节的首选方法。
关键词：
超声；计算机X线断层照相技术；介入；肺部结节
Diagnosis value of ultrasound and CT in guidance of transthoracic lung biopsy of peripheral pulmonary lesions
CorrespondingAuthor: JIANG Si Email: 408045384@qq.com
DOI: 10.3978/j.issn.2095-6959.2018.02.016
Abstract
Objective: To compare the diagnosis value between ultrasound and CT in guidance of percutaneous biopsy of peripheral pulmonary lesions. Methods: A total of 139 patients with peripheral pulmonary lesions, including 55 cases in the ultrasound group, 84 cases in the CT group, were performed with percutaneous biopsy. The success rate and the incidence of complications between the two groups were compared. Results: By pathological diagnosis, 101 cases were malignant tumors, 38 cases were benign lesions. The success rates of puncture in the ultrasound-guided group and the CT-guided group were 94.5% and 96.4%, respectively. There was 1 case of pneumothorax, 3 cases of hemoptysis and 1 case of chest pain in the ultrasound group; 12 cases of pneumothorax, 4 cases of hemoptysis, 3 cases of cough, 3 cases of chest pain and 2 cases of tumor bleeding in the CT group, the difference was statistically significant (P<0.05). Conclusion: Ultrasound-guided percutaneous lung puncture is safe, convenient and easy to operate. It is the preferred method for diagnosing peripheral pulmonary nodules.
Keywords：
ultrasonography; computed tomography; intervention; pulmonary nodules