摘要
超声引导经皮肺穿刺活检是胸膜下肺病变的重要诊断方法,具有实时、无辐射、操作灵活等优势。为进一步规范该技术的临床应用,提升操作安全性与诊断准确性,由中华医学会超声医学分会等11家权威学术机构联合组织多学科专家,基于国内外最新循证医学证据,制定了《超声引导经皮肺穿刺活检中国专家共识》。本共识系统阐述了超声引导肺穿刺活检的适应证与禁忌证、术前评估与准备、术中操作流程、并发症防治及术后管理等内容,并提出了18条具体推荐意见。本共识旨在为影像及临床医师提供标准化操作指导,推动超声引导经皮肺穿刺活检的规范应用,最终惠及广大肺部疾病患者。
Ultrasound-guided percutaneous lung needle biopsy(US-PLNB)is a pivotal diagnostic technique for subpleural pulmonary lesions,offering significant advantages such as real-time imaging,absence of ionizing radiation,and high operational flexibility.To standardize its clinical application and enhance both procedural safety and diagnostic accuracy,a multidisciplinary panel of experts was convened by eleven authoritative Chinese academic societies,including“Chinese Society of Ultrasound in Medicine”.Based on the latest domestic and international evidence-based medicine,this panel developed“Chinese Expert Consensus on Ultrasound-Guided Percutaneous Lung Needle Biopsy”.This consensus systematically elaborates on the indications and contraindications,preprocedural assessment and preparation,intraoperative techniques,complication prevention and management,and post-procedural care for US-PLNB.Furthermore,it puts forward 18 specific evidence-based recommendations.The primary aim of this consensus is to provide radiologists and clinicians with standardized operational guidance,promote the standardized application of US-PLNB,and ultimately improve patient care for individuals with pulmonary diseases.
作者
中华医学会超声医学分会
中国医师协会介入医师分会
中国抗癌协会肿瘤微创治疗专业委员会
中国防痨协会超声专业分会
中国医疗保健国际交流促进会结核病防治分会
中国医学装备协会超声装备技术分会
中华医学会结核病学分会超声专业委员会
上海市医学会超声分会
上海超声诊疗工程技术研究中心
复旦大学超声医学与工程研究所
上海市影像医学研究所
王茵
徐辉雄
Chinese Society of Ultrasound in Medicine;Interventional Physicians Branch of the Chinese Medical Doctor Association.;Minimally Invasive Therapy for Oncology Committee of Chinese Anti-Cancer Association;Ultrasound Branch of the Chinese Anti-Tuberculosis Association;Branch of Tuberculosis Control and Prevention,China International Exchange and Promotive Association for Medical and Health Care;Branch of Ultrasound Equipment Technology,China Association of Medical Equipment;Ultrasound Sub-Committee,Tuberculosis Branch of Chinese Medical Association;Ultrasound Branch of Shanghai Medical Association;Shanghai Engineering Research Center of Ultrasound in Diagnosis and Treatment;Institute of Ultrasound in Medicine and Engineering of Fudan University;Shanghai Institute of Medical Imaging
出处
《临床超声医学杂志》
2025年第12期969-987,共19页
Journal of Clinical Ultrasound in Medicine
基金
国家自然科学基金项目(82272007)
上海科学技术委员会项目(22Y11911400)
上海市卫生健康委员会项目(202340246)。
关键词
超声引导
经皮肺穿刺活检
胸膜下肺病变
专家共识
Ultrasound guidance
Percutaneous lung needle biopsy
Subpleural pulmonary lesions
Expert consensus
