肺部实质性占位病变110例影像学及病理学诊断的准确性
The Accuracy of Imaging and Pathological Diagnosis in 110 Cases of Pulmonary Space-occuping Lesions
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摘要: ［摘要］目的 探讨肺部周围型实质性占位病变影像学与病理学诊断的准确性．方法 回顾性分析本院110例经X线或CT证实肺周围部实质性占位，并经彩色超声检查在胸部肋间探及实质性占位，不能明确诊断的患者行超声引导下活检后的结果．结果 110例肺部实质性占位病变，影像学和病理学结果一致有100例，占90.9%，95%CI（88.16%～93.64%），具有较高可信度，不符合10例，占9.1%．结论 超声引导经皮穿刺活检诊断肺部周围型实质性占位，是一种低风险、微创性、安全、实用的检查技术，结合病理诊断可消除影像学诊断的误差，提高诊断准确率．
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关键词:
- [关键词]超声检查,多普勒,彩色 /
- 活组织检查 /
- 肺疾病 /
- 手术后并发症
Abstract: ［Abstract］Objective To discusse the accuracy of imaging and pathological diagnosis in pulmonary space-occuping lesions. Methods The clinical data of 110 cases of pulmonary space-occuping lesions confirmed by x-ray or CT were retrospectively analyzed. And the intercostal color ultrasound examination was performed to explore the space-occuping lesions of the lung, the biopsy was performed to confirm the diagnosis for the patients without a definitive diagnosis．Results Among the 110 cases of pulmonary space-occuping lesions, there were 100 cases with the consistent results of imaging and pathological examination, accounting for 90.9%，with 95% CI（88.16%～93.64%）；there were 10 cases with different results of imaging and pathological examination，accounting for 9.09%．Conclusions Ultrasound-guided percutaneous biopsy is a lowly risky，minimally invasive，safe and practical examination technology in the diagnosis of peripheral pulmonary space-occuping lesions. Ultrasound-guided percutaneous biopsy combined with pathological diagnosis can eliminate the eroor of the imaging diagnosis，and impove the diagnostic accuracy -
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