超声引导经皮穿刺活检在大网膜病变诊断中的价值  

Diagnostic role of ultrasound guided percutaneous biopsy in omental lesions

作　　者：王建宏[1] 陈宝军[1] 韩英[1] 王玉[1] 申慧琴[1] 张华[1] 刘杰[1] 樊代明[1] 

机构地区：[1]第四军医大学西京医院消化内科,西安710032

出　　处：《中华超声影像学杂志》2006年第1期21-24,共4页Chinese Journal of Ultrasonography

摘　　要：目的探讨超声引导经皮穿刺活检在大网膜病变诊断中的价值。方法63例腹胀和(或)腹水原因待查患者,超声显示大网膜增厚,用BARD自动活检枪和18G活检针行超声引导下经皮穿刺活检。结果大网膜病变穿刺活检成功率100%,取材满意率92.1%。60例获得明确病理诊断,包括结核病变21例,转移性腺癌31例,恶性间皮瘤3例,腹膜假性黏液瘤4例,原发渗出性淋巴瘤1例;3例因组织标本量少未提示病理诊断。本组诊断准确性95.2%,无严重并发症发生。结论超声引导经皮穿刺大网膜病变活检是一种简便、安全、有效、诊断准确性高的方法,可使一些不明原因的腹胀腹水患者获得明确的病理诊断,为临床治疗提供依据。Objective To evaluate the role and safety of ultrasound guided percutaneous biopsy in omental lesions. Methods Sixty three patients with ascites and/or abdominal distention without clear reasons underwent ultrasound guided percutaneous biopsy in BARD auto-biopsy gun and 18 guage biopsy needle, after ultrasonography showed the abnormalities of greater omentum. Results The successful rate of percutaneous biopsy was 100%, with the 92.1% of satisfactional rate of the tissue samples. Conclusive histopathologic diagnosis was made on 60 cases, including 21 cases with tuberculosis, 31 cases with metastatic adenocarcinoma, 3 cases with malignant mesothelioma, 4 cases with pseudomyxoma peritonei and 1 case of primary effusional lymphoma. Only 3 cases failed to get clear pathologic diagnosis, because of less tissue sample. The diagnostic accuracy was 95.2%, no serious complications occured. Conclusions Percutaneous biopsy with ultrasound guidance can be used briefly, safely and efficiently to diagnose omental lesions. It makes some patients with unknown etiogenic ascites and/or abdominal distention get accurate diagnosis, and offers a remarkable help for clinical therapy.

关 键 词：超声检查 活组织检查 针吸 腹膜疾病 

分 类 号：R445.1[医药卫生—影像医学与核医学]