Application value of ultrasound-guided crude needle puncture biopsy with different frequency in tumor patients with peripheral pulmonary nodules

CHENG Tao; ZHANG Limin; DONG Huajie; ZHOU Tong; XU Zhiyi

doi:10.19732/j.cnki.2096-6210.2021.05.013

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Application value of ultrasound-guided crude needle puncture biopsy with different frequency in tumor patients with peripheral pulmonary nodules

更新时间：2025-12-15

- Application value of ultrasound-guided crude needle puncture biopsy with different frequency in tumor patients with peripheral pulmonary nodules
- Vol. 30, Issue 5, Pages: 399-403(2021)
- 作者机构：
  
  1. 常州市肿瘤医院超声科,江苏,常州,213000
  2. 常州市肿瘤医院肿瘤内科,江苏,常州,213000
  3. 常州市肿瘤医院病理科,江苏,常州,213000
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2021.05.013
  CLC：
- Published Online：28 October 2021，
  
  Published：28 October 2021
- 稿件说明：
移动端阅览
成涛,张丽敏,董华洁,等. 不同频率超声引导的粗针穿刺活检术在肿瘤患者周围型肺结节中的应用价值[J]. 肿瘤影像学, 2021, 30(5): 399-403 https://doi.

org/10.19732/j.cnki.2096-6210.2021.05.013
成涛,张丽敏,董华洁,等. 不同频率超声引导的粗针穿刺活检术在肿瘤患者周围型肺结节中的应用价值[J]. 肿瘤影像学, 2021, 30(5): 399-403 https://doi. DOI： 10.19732/j.cnki.2096-6210.2021.05.013.

org/10.19732/j.cnki.2096-6210.2021.05.013 DOI：

摘要

目的：

比较不同频率超声引导下粗针穿刺活检术（crude needle puncture biopsy，CNB）在周围型肺结节中的诊断价值。

方法：

回顾并分析超声引导下CNB的41例周围型肺结节的多种肿瘤患者，将患者按照引导探头频率不同分为高频组（7 MHz）与低频组（5 MHz），比较两组患者在结节内部回声均质与否，结节深度5 cm为界、与胸膜接触面最大直径2 cm为界的穿刺活检结果差异，并统计并发症。

结果：

41例周围型肺结节的肿瘤患者经皮肺穿刺成功率为95.12%（39/41），肿瘤阳性率87.80%。高频组共12例，低频组共29例，结节深度比较两组阳性率无明显差异（

＞0.05），在结节回声、结节接触面直径比较高频组穿刺阳性率高于低频组（

＜0.05）；并发症发生率仅为2.44%（1/41）。

结论：

超声引导下周围型肺结节CNB在肿瘤患者周围型肺结节诊断中是安全、有效的，且高频超声引导效果更好。

Abstract

Objective:

To compare the diagnostic value of different frequency ultrasound-guided crude needle puncture biopsy (CNB) in peripheral pulmonary nodules.

Methods:

A total of 41 patients with peripheral pulmonary nodules who underwent ultrasound-guided CNB were retrospectively analyzed. Patients were divided into high frequency group (7 MHz) and low frequency group (5 MHz) according to the frequency of the probe. The results of biopsy were compared between the two groups with echo

5 cm in the depth of the n

odules and 2 cm in the maximum diameter of the pleural contact surface.

Results:

The success rate of percutaneous lung puncture in 41 patients with peripheral pulmonary nodules was 95.12% (39/41)

the positive rate of tumor was 87.80%. The patients were randomly assigned to high frequency group (12 cases) and low frequency group (29 cases). There was no significant difference between the two groups in the depth of the nodules (

＞0.05). The positive rate in the high frequency group was higher than that in the low frequency group. The incidence of complications was only 2.44% (1/41).

Conclusion:

Ultrasound- guided CNB of peripheral pulmonary nodules is effective and safe in the diagnosis of peripheral pulmonary nodules in cancer patients

and the effect of high-frequency ultrasound guidance is better.

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