超声造影在肺周围型病灶穿刺活检中的应用

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (826 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To probe the application of contrast-enhanced ultrasound (CEUS) guidance in puncture biopsy of peri-pulmonary lesions.Methods One hundred and seventeen cases of ultrasound-guided peri-pulmonary lesion biopsy from January 2019 to December 2020 in our hospital were divided into experimental group (contrast-enhanced ultrasound guided puncture, n=52) and control group (conventional ultrasound-guided puncture, n=65). After the experimental group underwent CEUS examination the perfusion of contrast agent and the enhancement of the lesions were observed, and puncture biopsy for the significantly enhanced area of the lesions was performed. In the control group, conventional ultrasound was used to guide the puncture biopsy of the solid area. The puncture pathology results were obtained, and the surgical pathology were used as the final diagnosis. Statistical analysis was performed to compare the puncture success rate, positive puncture rate, complications,and necrotic area rate.Results The positive puncture rate in the experimental group was statistically higher than that in the control group(96.15% vs. 84.62%) (P<0.05). For lesions with diameters larger than 50 mm, the positive puncture rate was also significantly higher in the experimental group than in the control group(95.45% vs. 70.83%) ( P<0.05).Conclusions The efficacy of CEUS guided punch biopsy was higher than conventional ultrasound-guided guided punch biopsy. For the lesions larger than 50 mm, CEUS guided puncture biopsy was strongly recommended.

Key words： ultrasound guidance puncture biopsy peri-pulmonary lesions contrast-enhanced ultrasound

Received: 01 November 2021

ZTFLH:

R662.2

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YANG Fei
	FANG Xuemei
	WU Xiaowei
	CHEN Xulan

Cite this article:

YANG Fei,FANG Xuemei,WU Xiaowei等. Application of contrast-enhanced ultrasound guidance in puncture biopsy of peri-pulmonary lesions[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(4): 287-290.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I4/287

[1]	Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin,2018, 68(6):394-424.
[2]	王运昌,张周龙,姚俊东,等.超声引导经皮穿刺活检对肺周围型病变诊断的临床价值[J].中国超声医学杂志,2018,34(8):687-689.
[3]	方芹,黄伟俊,邱懿德,等.超声引导下肺外周型病变穿刺活检确诊率及并发症影响因素分析[J].中国超声医学杂志,2017,33(12):1084-1086.
[4]	Han J, Feng X L, Xu T Y, et al. Clinical value of contrast-enhanced ultrasound in transthoracic biopsy of malignant anterior mediastinal masses[J]. J Thor Dis,2019,11(12):5290-5299.
[5]	Chong W K, Papadopoulou V, Dayton P A. Imaging with ultrasound contrast agents: current status and future. [J].Abdominal Radiol (New York), 2018,43(4):762-772.
[6]	Sidhu P S, Cantisani V, Dietrich C F, et al. The EFSUMB guidelines and recommendations for the clinical practice of contrast-enhanced ultrasound (CEUS) in non-hepatic applications: update 2017 (long version) [J]. Ultraschall Med,2018, 39(2):e2-e44.
[7]	Dong Y, Mao F, Wang W P, et al. Value of contrast-enhanced ultrasound in guidance of percutaneous biopsy in peripheral pulmonary lesions[J]. Biomed Res Int,2015,69(3):422-429.
[8]	唐敏,宋建琼,郑小雪,等.超声造影与常规超声引导下肺周围型病变穿刺对比分析[J].中国超声医学杂志,2020,36(5):404-408.
[9]	Cao B S, Wu J H, Li X L, et al. Sonographically guided transthoracic biopsy of peripheral lung and mediastinal lesions: role of contrast-enhanced sonography[J]. J Ultrasound Med, 2011, 30(11):1479-1490.
[10]	毛枫,季正标,金赟杰,等.常规超声与超声造影引导下周围型肺肿块穿刺活检的对比研究[J].中国超声医学杂志,2020,36(8):691-694.
[11]	朱贤胜,王莎莎,程琦,等.超声造影在肺周围病变穿刺活检中的应用[J].中国介入影像与治疗学,2011,8(6):489-491.
[12]	Wang S, Yang W, Zhang H, et al. The role of contrast-enhanced ultrasound in selection indication and improveing diagnosis for transthoracic biopsy in peripheral pulmonary and mediastinal lesions[J]. Biomed Res Int,2015,34(7):1-8.
[13]	王凇,杨薇,张晖,等.超声造影在肺周占位穿刺活检的应用价值[J]. 介入放射学杂志,2014,23(6):482-486.
[14]	Lei Z, Lou J, Bao L, et al. Contrast-enhanced ultrasound for needle biopsy of central lung cancer with atelectasis[J]. J Med Ultrason (2001),2018, 45(3):461-467.
[15]	胡剑秋,黄钰清,陈祥慧,等.超声造影联合细针穿刺手感对甲状腺乳头状癌的诊断价值[J].武警医学,2021,32( 9):776-780.
[16]	Tang C, Fang K, Guo Y, et al. Safety of sulfur hexafluoride microbubbles in sonography of abdominal and superficial organs: retrospective analysis of 30,222 cases[J]. J Ultrasound Med, 2017, 36(3):531-538.
[17]	丁苗苗,周健平,林元强,等.超声引导下经皮穿刺肺组织活检1165例临床研究[J].中国实验诊断学,2014,18(3):490-491.
[18]	杨志英,郑浩,张琦,等.超声引导经皮肺穿刺在周围型肺部病变诊断中的价值[J].临床肿瘤学杂志,2014,19(5):449-451.
[19]	Sperandeo M, Maiello E, Graziano P, et al. Effectiveness and safety of transthoracic ultrasound in guiding percutaneous needle biopsy in the lung and comparison vs. CT scan in assessing morphology of subpleural consolidations[J]. Diagnostics(Basel),2021,11(9):1641-1655.
[20]	沈梦君,毕珂,张怡,等.超声引导下经皮肺穿刺术1444例并发症分析[J].肿瘤影像学,2019,28(5):301-305.