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超声引导下胸膜活检结合二维超声在良恶性胸膜病变诊断中的应用价值 被引量:2

The Value of Ultrasound-guided Pleural Biopsy Combined with Two-dimensional Ultrasonography in the Diagnostic of Benign and Malignant Pleural Diseases
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摘要 目的 探讨超声引导下胸膜活检结合二维超声(2DUS)在良恶性胸膜病变诊断中的应用价值。方法 回顾性分析193例胸膜病变患者的胸膜活检病理结果、二维超声及临床资料,对比良、恶性胸膜病变的二维超声表现,分析取材成功率及穿刺活检对胸膜良、恶性病变诊断的灵敏度,探讨超声引导下胸膜穿刺活检结合二维超声在胸膜良恶性病变诊断中的应用价值。结果 胸膜活检成功率为79.3%(153/193),病理确诊率为84.1%(149/182),其中恶性胸膜病变80.0%,结核性胸膜炎64.8%,胸膜非特异性炎症63.6%。良性组与恶性组胸膜平均厚度分别为(0.61±0.22)cm和(0.74±0.39)cm,两者有统计学意义(P=0.031);良性组与恶性组胸水平均深度分别为(2.95±1.89)cm和(4.42±2.87)cm,两者有统计学意义(P=0.001)。结论 良、恶性胸膜病变在2DUS上存在一定的声像学特征,穿刺活检前详细评估其特征可提高胸膜病变超声诊断率和活检阳性率。 Objective To evaluate the value of ultrasound-guided pleural biopsy combined with two-dimensional ultrasonography in the diagnosis of benign and malignant pleural diseases. Methods The pleural biopsy results, two-dimensional ultrasound (2DUS) performance and clinical data of 193 patients with pleural disease were analyzed retro- spectively. 2DUS performances of benign and malignant pleural lesions were compared, and the successful rate and sensitivity of biopsy were analyzed between benign and malignant pleural lesions, and the value of ultrasound-guided pleural biopsy combined with 2D ultrasound in the diagnosis of pleural benign and malignant diseases was explored. Results The success rate of puncture biopsy was 79.3 %. Pathological diagnosis rate was 84.1 % ,There were 80.0 malignant tumor,64.8 % pleural tuberculosis and 63.6 % nonspecific inflammation. The average pleural thickness of benign and malignant was (0.61±0.22) and (0.74±0.39), respectively (P=0. 031). The average depth of pleural effusion in benign and malignant was (2.95±1.89) and (4.42±2.87), respectively (P=0. 001). Conclusions There are certain sonographic features in benign and malignant pleural lesions in 2DUS,Detailed assessment of pleural diseases features before pleural biopsy can improve the diagnostic rate and the success rate of pleural biopsy.
作者 卢柳欢 李智贤 廖新红 陈圆圆 王斯达 王缉寒 黄雪 Lu Liuhuan, Li Zhixian, Liao Xinhong, et al. (Department of Ultrasound, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China)
出处 《中国超声医学杂志》 CSCD 北大核心 2017年第6期525-529,共5页 Chinese Journal of Ultrasound in Medicine
基金 2015广西创新计划专项经费项目(No.2015CXJHA002)
关键词 胸膜病变 胸膜活检 二维超声 应用价值 Pleural lesions, Pleural biopsy, Two-dimensional ultrasonography, Diagnostic value
作者简介 通信作者:李智贤E—mail:gxydlzx@163.com
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