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目的探讨超声引导下经皮肺穿刺对周围型肺部肿块的诊断价值。方法 27例疑为周围型肺癌的患者行超声引导下穿刺活检,结果送病理检查。结果 25例一次取材成功,2例行二次取材。病理结果:恶性肿瘤24例,占88.9%;炎性假瘤2例,占7.4%;结核1例,占3.7%。其中24例恶性肿瘤中,腺癌13例,鳞癌8例,小细胞未分化癌2例,纤维恶性间质瘤1例。结论超声引导下经皮肺穿刺活检技术可以安全准确地为临床提供病理学诊断。
Objective To investigate the diagnostic value of percutaneous pulmonary puncture guided by ultrasound in the diagnosis of peripheral pulmonary masses. Methods Twenty-seven patients suspected of peripheral lung cancer underwent ultrasound guided biopsy, and the results were sent for pathological examination. Results of 25 cases of successful drawing, 2 cases of secondary drawing. Pathological findings: 24 cases of malignant tumors, accounting for 88.9%; inflammatory pseudotumor in 2 cases, accounting for 7.4%; tuberculosis in 1 case, accounting for 3.7%. Among 24 malignant tumors, 13 were adenocarcinoma, 8 were squamous cell carcinoma, 2 were small cell undifferentiated carcinoma and 1 was malignant stromal tumor. Conclusion Ultrasound-guided percutaneous lung biopsy can safely and accurately provide clinical diagnosis of pathology.