腹壁肿物超声引导穿刺活检价值及其声像图分析  

The Value of Ultrasound-guided Percutaneous Biopsy in Diagnosis of Tumors of the Abdominal Wall and the Analysis of Sonographic

作　　者：蔡文佳[1] 董宝玮[1] 于晓玲[1] 于明安[1] 王昀 

机构地区：[1]解放军总医院介入超声科,北京市100853 [2]病理科

出　　处：《中国超声医学杂志》2013年第6期539-542,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声引导经皮穿刺活检在腹壁肿物中的价值并总结其声像图表现。方法对13例腹壁肿物行超声引导下经皮穿刺活检,所取组织行常规病理学检查,部分加做免疫组化,以腹壁肿物再切除手术术后病理及临床随访结果为最终诊断。根据病理结果总结各类病变典型的声像图表现。结果 13例穿刺标本,11例得到明确的组织病理学诊断,定性诊断率为84.6%(11/13),均与最终诊断相符合。所有病例未发生出血、腹部脏器损伤、感染等并发症。不同类型病变声像图有各自典型表现。结论超声引导下经皮穿刺活检腹壁肿物准确性高,并发症少,为临床诊断和鉴别诊断提供有益的指导;腹壁肿物声像图为鉴别诊断提供了有力的工具。Objective To investigate the value of ultrasound-guided biopsy for diagnosis of tumors of the abdomi- nal wall and summarize the sonographic features. Methods Ultrasound-guided biopsy was performed in 13 patients with tumors of the abdominal wall who were hard to diagnose clinically using 18G coarse needle. All specimens were performed with routine pathological examination and part of them with immunohistochemical examination. The final diagnosis was based on postoperative pathology of abdominal wall tumor resection and clinical follow-up results. And sonographic features were summarized according to the results. Results Qualitative diagnosis was obtained in 11 of 13 cases, resulting a qualitative diagnosis rate of 84.6% （11/13）, which was confirmed by surgery and clinical follow up. No serious complication, such as hemorrhage, abdominal organ injuries and infection occurred. Different types of le sions have unique characteristics. Conclusions Ultrasound-guided biopsy is sensitive and accurate technique in the di- agnosis of tumors of the abdominal wall with a lower incidence of complication, and unique characteristics are helpful for distinguishing tumors of abdominal wall.

关 键 词：超声检查 活组织检查 腹壁肿物 

分 类 号：R445.1[医药卫生—影像医学与核医学]