彩色B超引导下经皮肺穿刺活检术对肺癌诊断意义(附16例报告)

Percutaneous needle aspiration lung biopsy using colorized B ultrasonography in diagnosis of pulmonary cancer (a 16-case report)

目的探讨彩色B超引导下经皮肺穿活检对肺癌的诊断价值。方法16例近胸壁肺内发现肿块且高度怀疑肺癌的患者,在彩色B超引导下经皮肺穿活检术。结果16例肺部肿块大小介于2.1×2.4cm2～2.4cm～10×13cm2,15例患者确诊为肺癌,癌症确诊为94.75%,其中腺癌9例,鳞癌7例。穿刺后未发生气胸、出血或感染等。结论彩色B超引导下经皮肺穿安全、准确,诊断迅速,对肺癌的确诊有重要意义。

Objective To investigate the diagnostic value of lung cancer by percutaneous needle aspiration of lung biopsy under the guide of colorized B ultrasonography. Methods 16 in patients with lump nearby the thoracic wall or being highly suspicious of pulmonary cancer were operated by percutaneous needle aspiration biopsy. Results 15 in-patients were diagnosed as cancer, in which 9 cases were classified as adenocarcinoma, and 7 cases as squamous carcinoma. Mass measures ranged between 2. 1× 2.4cm^2 and 10× 13cm^2. The cancer diagnosis rate was 94. 5%, Only one case was again diagnosed as adenocarcinoma by fibrobronchoscopy, No significant complications such as hemorrhage, infection or pneumothorax were found. Conclusion It is safe, accurate, quick and significant in the diagnosis of lung cancer using percutaneous needle aspiration of lung biopsy under the guide of B ultrasonography.