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超声引导下经皮对肺周围型病变穿刺活检的临床价值及探讨
http://www.100md.com 2011年8月1日 健康必读·下旬刊 2011年第8期
     【中图分类号】R445.1【文献标识码】A【文章编号】1672-3783(2011)08-0025-01

    【摘要】目的 评价超声引导下经皮对肺周围型病变穿刺活检诊断价值及安全性。方法 在超声引导下,应用自动穿刺活检枪对病灶进行组织切割,以明确病变的性质。结果 穿刺32例患者,32例获得组织标本,穿刺成功率100%;31例病理明确诊断,诊断准确率96.9%;1例病理诊断未分型;术后,有2例并发气胸,9例咯血,无1例死亡及外科紧急手术处理的严重并发症。结论 超声引导下经皮对肺周围型病变穿刺活检是明确肺周围型病变性质的有效、安全及快捷的方法。

    【关键词】超声引导 肺周围型病变 穿刺活检

    Ultrasound-guided percutaneous pulmonary peripheral lesions of the clinical value of biopsy and discussed

    ZhengHui

    【Abstract 】 objective evaluation of ultrasound-guided percutaneous pulmonary peripheral lesions biopsy diagnostic value and security. Methods in ultrasound-guided automatic biopsy, application of lesions organize cutting gun, in order to make clear the nature of the disease. Results puncture 32 patients, 32 cases get tissue samples from 100% success rate, puncture; 31 cases of pathological diagnosis, diagnostic accuracy rate 96.9%; 1 pathological diagnosis cases not points type; After the operation, the two cases of concurrent pneumothorax, 9 cases haemoptysis, no one was killed and surgical emergency surgical treatment of serious complications. Conclusion ultrasound-guided percutaneous pulmonary peripheral lesions on biopsy was clear of the nature of the surrounding lung lesions effective, safe and efficient method ......

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