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应用超声引导经皮自动穿刺活检术对79例经X线及CT检查发现肺部肿块患者进行穿刺活检,分析患者穿刺活检二维声像图特征,彩色血流信息特征,病灶内造影剂增强情况,穿刺活检成功率及并发症情况,探讨超声引导经皮肺肿块穿刺活检在肺肿块病变临床诊断中的应用价值。结果发现:实验组79例患者中,周围型肿块73例,中央型肿块伴肺实变6例,恶性病变60例,良性病变19例。恶性病变病灶回声类型、病灶最大径线、Adler血量分级、病灶内造影剂均匀性与良性病变同类指标比较具有显著差异性(p<0.05)。可见:超声引导经皮肺肿块穿刺活检是安全可靠,简便易行的方法,其良、恶性病变二维声像图特征,彩色血流信息特征,病灶内造影剂增强情况差异显著,在肺周围型肿块及伴实变中央型肿块患者的病理分型诊断中具有重要的应用价值。
Ultrasound-guided percutaneous biopsy was performed in 79 patients with pulmonary masses detected by X-ray and CT. The biopsy features of two-dimensional sonography, color flow characteristics and enhancement of contrast agent in lesion were analyzed , Biopsy success rate and complications, to explore the value of ultrasound-guided percutaneous lung biopsy in the clinical diagnosis of lung mass lesions. The results showed that there were 73 cases of peripheral mass, 6 cases of central mass with pulmonary consolidation, 60 cases of malignant lesions and 19 cases of benign lesions in 79 patients in experimental group. Echocardiography showed that there were significant differences in echo type, maximal diameter of lesion, Adler volume classification, homogeneity of contrast medium in lesion and similar lesions in benign lesion (p <0.05). Can be seen: ultrasound-guided percutaneous lung biopsy is a safe and reliable, easy and feasible method of benign and malignant lesions of the two-dimensional sonographic features, color flow characteristics of information, contrast enhancement within the lesion significant difference in the lung around Type mass and consolidation with central mass in patients with pathological type diagnosis has important application value.