超声引导下穿刺活检在诊断女性盆腔占位性病变中的应用  

Application of Ultrasound Guided Biopsy in the Diagnosis of Female Pelvic Space Occupying Lesions

作　　者：崔志英[1] 

机构地区：[1]河南省安阳市肿瘤医院超声科,455000

出　　处：《中国继续医学教育》2015年第10期186-187,共2页China Continuing Medical Education

摘　　要：目的总结探讨超声引导下穿刺活检在诊断女性盆腔占位性病变中的应用价值。方法 90例盆腔包块女性患者均在超声引导下进行组织学穿刺活检,比较穿刺活检结果与手术病理检查结果之间的符合性。结果 90例患者经过超声引导穿刺活检,全部经腹穿刺,90例患者中85例患者穿刺病理明确诊断,包括70例恶性肿瘤、12例良性病变、3例低分化癌未取得明确病理分型。另外5例未取得明确病理结果。超声穿刺活检诊断恶性肿瘤的准确率为97.14%,诊断良性肿瘤的准确率为100.00%。结论经超声引导穿刺活检诊断女性盆腔占位性病变的准确性高,而且方法简单、安全可靠,尤其适合不宜手术、又需要明确病理诊断的患者。Objective To investigate the application of ultrasound guided biopsy for the diagnosis of lesions of the female pelvic cavity.Methods 90 cases of pelvic mass in female patients were performed by ultrasound guided puncture biopsy histology. Compare between biopsy results and operation pathological ifndings were compared.Results90 cases of patients were treated by ultrasound guided biopsy, all abdominal puncture,85 patients among all cases with clear biopsy diagnoses including, including 70 cases of malignant tumor, 12 cases of benign lesion of 3 cases of poorly differentiated carcinoma without definite pathological type, the other 5 patients without definite pathological results. The accurate rate of ultrasound biopsy in the diagnosis of malignant tumor was 97.14%, the diagnostic accuracy rate of benign tumors was 100%.Conclusion Ultrasound guided biopsy in the diagnosis of female pelvic occupying lesions is with highaccuracy, and the method is simple, safe and reliable, especially for inoperable and require definite pathologic diagnosis of patients.

关 键 词：超声引导 穿刺活检 盆腔占位性病变 诊断价值 

分 类 号：R737.33[医药卫生—肿瘤]