孤立性肺肿块的超声鉴别诊断

Differential Diagnosis with Ultrasonics for Solitary Pulmonary Mass

目的 回顾性总结超声鉴别肺部孤立性肿块的临床意义。方法 分析 4 0例经CT扫描的肺部孤立性肿块 ,利用彩色多普勒血流显像和脉冲多普勒检查 ,灰阶二维超声对肿块形态、大小、边界及内部回声特征进行观察。结果 肺部良性肿块 2 0例 ,包括结核 1 0例 ,炎性假瘤 6例 ,腺瘤 1例 ,错构瘤 2例 ,肺动静脉瘘1例 ;恶性肿块 2 0例。结论 超声检查可鉴别孤立性肺部肿块 ,分辨率较高 。

Objective To summarize the clinical significance of differential diagnosis with ultrasonics for solitary pulmonary mass. Methods 40 cases of pulmonary mass obtained the results with CT scan were analyzed retrospectively and detected with colorful Doppler of blood flow image, impulse and two-dimensional ultrasonics in tumor shape, size, edge and inner reflection. Results The 20 cases among this group were benign mass including 10 cases tuberculosis, 6 cases inflammatory pseudotumor, 1 case adenoma, 2 cases hamartoma and 1 case arteriovenous aneurysm. The 20 cases were malignant tumor. Conclusion The ultrasonics could get differential diagnosis of solitary pulmonary mass with high resolution and good specificity.