超声引导下对胸膜及肺周部位病变穿刺活检的临床应用

Clinical application of needle aspiration in diagnosis of pleura and around lung lesions under ultrasound guidance

目的:评价超声引导下穿刺活检对胸膜及肺周部位病变诊断的准确性与安全性,探讨其临床应用价值。方法:对31例胸膜及肺周部位病变患者行超声引导下穿刺活检,进行细胞学及组织学检查初步诊断,并与手术后病理诊断结果对照。结果:本组21例患者,其中30例获得了足够的敏感的细胞及组织学资料,穿刺成功率96.8%(30/31),诊断符合率100%,所有患者未出现严重并发症。结论:超声引导下穿刺活检对胸膜及肺周部位病变的诊断准确性高,尤其对常规方法诊断困难的部分疾病诊断价值较大。

Objective： To evaluate the diagnostic accuracy and safety of ultrasound guided percutaneous biopsy of pulmonary verge and pleural diseases and discuss the clinical value.Methods：Uhrasound guided pereutaneous biopsy were performed on 31 patients who suffered from pulmonary verge and pleural diseases to obtain primary diagnosis of cytology and histology, and compared the results with pathological diagnosis. Results： There were 30 cases obtaining enough cytology and histology data. The successful rate was 96.8 % （30/ 31）, and the conformity rate was 100%. The severe complications didn＇t happened in all patients. Conclusion： Ultrasound guided percutaneous biopsy is a safe and reliable method for diagnosing pulmonary verge and pleural diseases, especially for some diseases which are difficultly diagnosed by common method.