Objective To evaluate the application value of ultrasound-guided percutaneous biopsy in the diagnosis of peripheral lung lesions. Methods Forty-one patients with peripheral lung lesions who underwent ultrasound-guided biopsy in our department from September 2009 to January 2014 were enrolled in this study. Having been followed up for at least 6 months, all patients were clinically diagnosed according to their post-operative pathological diagnosis or follow-up imaging examination results. The relation between pathological examination and final clinical diagnostic results were examined. Their complications were observed. Results All tissue samples were successfully obtained from the forty-one patients, among which 39 were confirmed with definitive pathological diagnosis. The qualitative diagnostic rate was 95.1% (39/41). The qualitative biopsy diagnosis coincidence rate was 100% (39/39). Small amount of bleeding was found in only 2 patients. No complication occurred in rest patients after biopsy. Conclusion Ultrasound-guided percutaneous biopsy of peripheral lung lesions is simple and safe, and can provide reference for clinical diagnosis and treatment.%目的：探讨超声引导下经皮穿刺活检在肺外周病变诊断中的应用价值。方法对2009年9月~2014年1月于我科就诊的41例肺外周占位性病变患者行超声引导下经皮肺穿刺活检，随访≥6个月，以术后病理诊断或随访影像学检查结果为最终临床诊断，比较超声引导下穿刺的病理检查结果与最终临床诊断结果之间的关系；观察有无穿刺有关并发症。结果成功获取41例患者组织标本，其中39例有明确的病理诊断，定性诊断率95.12%（39/41），穿刺定性诊断符合率100%（39/39）。穿刺过程中2例有少量出血，其余未发现并发症。结论超声引导下经皮穿刺活检肺外周病变简便、安全、成功率高，可为临床诊断及治疗提供参考。
展开▼
