经皮肾穿刺活检术对肾脏小肿瘤的诊断  

Ultrasound or CT-guided percutaneous core needle biopsy in diagnosis of small renal masses

作　　者：刘颖[1] 宋希双[2] 付启忠[1] 金泰乙[1] 董圣芳[1] 杨建勋[1] 吕光耀[1] 

机构地区：[1]大连大学附属中山医院泌尿外科,116001 [2]大连医科大学附属第一医院泌尿外科

出　　处：《中华全科医师杂志》2012年第1期57-59,共3页Chinese Journal of General Practitioners

摘　　要：对2006年4月至2010年12月间，因≤4．0cm肾脏小肿瘤在彩色超声（彩超）或CT指导下应用经皮肾穿刺针对肾脏活检的86例患者的临床资料行回顾性分析。80例穿刺组织可用于确诊，6例因获取组织量不足（出血或组织坏死）无法确诊肿物的病理性质；确诊的80例中，65％（52／80）为恶性肿瘤，35％（28／80）为良性肿瘤。5例患者出现穿刺并发症，47例行手术治疗患者的术后病理检查结果和穿刺检查结果均一致。在影像学指导下对肾脏小肿瘤行针刺活检准确性高，穿刺并发症少，可帮助提供组织学诊断。Eighty six patients with renal masses ≤4.0 cm underwent ultrasound or CT-guided core needle biopsies. The clinical data including the initial biopsy technique, pathologic findings, and the clinical outcome were retrospectively reviewed. Biopsies were failed for diagnosis in 6 cases （7%） because of necrosis or hemorrhage of the tissue specimens. Of 80 successful biopsies, 52 cases （65%） were diagnosed as malignant tumor and 28 cases （ 35% ） as benign. Five patients had biopsy complications （ 6% ）, including postoperative hypotension, hemouria and perirenal hematoma. Forty-seven patients underwent surgical extirpation ; the consistency rate of histopathological diagnosis between biopsy and surgical specimens was 100% in these patients. The results indicate that ultrasound or CT-guided core needle biopsy is an effective and safe procedure for diagnosis of renal small masses.

关 键 词：活组织检查 针吸 肾肿瘤 

分 类 号：R737.11[医药卫生—肿瘤]