B超诊断肺部病变和引导针吸活检的价值探讨

INVESTIGATION ON THEVALUES OF DIAGNOSIS AND GUIDED ASPIRATION BIOPSY IN THE PULMONARY DISEASE WITH B-MODE ULTRASONOGRAPHY

本文报告30例胸部疾病B超扫描结果,并在B超引导下对25例进行经皮肺穿针吸活检。23例肺部阴影B超拟肺内实质性肿块经皮肺穿针吸活检者,22例发现恶性细胞,阳性率为95.7％;2例肺部阴影B超拟混合性肿块者,穿刺抽出大量脓液,确诊为包裹性脓胸。所有穿刺均未发生任何并发症。

B-mode ultrasonography evaluated thiry patients with pulmonary disease and 25 out of them be underwent ultrasonography guided aspiration biopsy. In the frontal view of x-ray chest film, we fount 25 cases have had pulmonary abnormol shadow. Among of them, 23 cases evaluated as parenchymal mass by B-mode ultrasonography, then under ultrasonography guided aspiration biopsy that get malignant cells on 22 patients (positive rate is 97.7％). In addition, according to B-mode ultrasonography evaluation another two cases be interpretated as mixed masses, but aspiration needle biopsy comfirm it is encapsulated empyema.