【摘要】 目的探讨彩色B超引导下经皮纵隔穿刺诊断纵隔内占位性病变的临床意义。方法对本组14例纵隔内占位性病变采用彩色B超引导下行经皮穿刺活检术。结果穿刺过程中未发生纵隔气肿、气胸、出血等并发症。病理诊断1例恶性胸腺瘤,小细胞癌3例,另有1例病理涂片阴性,后经纤支镜诊断小细胞肺癌,鳞状细胞癌5例(2例来源于食道癌转移),腺癌2例,另有2例诊断未明。结论彩色B超直接引导下经皮纵隔穿刺活检术在某些部位的纵隔占位性病变中具有安全、准确、可靠的诊断价值。更多还原

【Abstract】 Objective To explore the clinical significance of ultrasonic color Doppler guided percataneous mediastinum puncture biopsy for diagnosing occupying lesion in mediastinum.Methods 14 patients with mediastinum occupying lesion received ultrasonic color Doppler guided percataneous mediastinum puncture biopsy.Results None of these patients suffered from complication such as mediastinal emphysema,pneumothorax,or hemorrhage.Pathological findings showed 1 case of malignant thymoma,3 cases of small cell carcinoma,5 cases of squamous-celled carcinoma,in which 2 cases originated from esophageal cancer,2 cases of adenocarcinoma,a case of negative pathological finding but was diagnosed as small cell carcinoma after fiexible bronchofiberscope examination,and 2 cases of acatalepsy.Conclusions ultrasonic color Doppler guided percataneous mediastinum puncture biospsy is a safe,accurate and dependable diagnostic method for some occupying lesion in mediastinum.更多还原