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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