超声引导下穿刺活检在诊断网膜病变中的应用价值  

Application of ultrasound-guided biopsy in diagnosis of omental diseases

作　　者：贾莹[1] 于晓玲[1] 梁萍[1] 程志刚[1] 韩治宇[1] 

机构地区：[1]解放军总医院介入超声科,北京100853

出　　处：《解放军医学院学报》2014年第1期7-9,共3页Academic Journal of Chinese PLA Medical School

基　　金：国家自然科学基金项目(81171358)~~

摘　　要：目的探讨超声引导下经皮穿刺活检在网膜病变中的临床应用价值。方法对2010年6月-2013年6月来我科就诊的29例网膜病变患者行超声引导下经皮穿刺活检,并随访观察有无并发症。结果本组29例均成功获取组织标本,穿刺成功率100%,其中27例明确了病理学诊断,定性诊断率93.1%(27/29)。以术后病理或随访影像学检查结果为最终临床诊断结果,穿刺定性诊断符合率92.6%(25/27)。有1例(3.5%,1/29)术后出现腹壁肿胀,无严重并发症发生。结论超声引导下经皮穿刺活检网膜病变准确性高,可为临床诊断提供参考。Objective To study the value of ultrasound-guided biopsy in diagnosis of omental diseases. Methods Twenty-nine patients with omental diseases who underwent ultrasound-guided biopsy in our department from June 2010 to June 2013 were followed up to observe their complications. Results Ultrasound-guided biopsy samples were successfully taken from the 29 patients with a success puncture rate of 100%. Of the 29 patients, 27 were diagnosed with omental diseases by histopathology with a qualitative diagnostic rate of 93.1% （27/29）. Of these 27 patients, 25 were followed up, during which they were finally diagnosed with omental diseases by pathology with a qualitative diagnostic rate of 92.6% （25/27）. No severe complications occurred except for abdominal wall swelling in 1 patient （3.5%, 1/29） after biopsy. Conclusion The accuracy of ultrasound-guided biopsy is high for the diagnosis of omental diseases and can thus provide reference for their clinical diagnosis.

关 键 词：超声检查 活组织检查 针吸 腹膜疾病 

分 类 号：R656.4[医药卫生—外科学]