超声引导下穿刺活检诊断肝脏转移性恶性黑色素瘤的效果分析  

Analysis of the effects of ultrasound-guided needle biopsy in the diagnosis of liver metastatic malignant melanoma

作　　者：魏淑芳 黄斌 孙希希 谢霖霄 黄艳 

机构地区：[1]杭州市西溪医院特检科,浙江杭州310023

出　　处：《中国现代医生》2016年第27期118-120,共3页China Modern Doctor

基　　金：浙江省自然科学基金(LY13H180015)

摘　　要：目的观察超声引导下穿刺活检在肝脏转移性恶性黑色素瘤中的诊断效果。方法 选取2014年1月-2016年5月医院诊治的肝脏转移性恶性黑色素瘤患者105例,入选患者均行彩色多普勒超声引导下行穿刺活检诊断,分析超声引导下穿刺活检在肝脏转移性恶性黑色素瘤中的诊断效果,观察入选患者诊断效果、诊断满意度、肝脏转移性恶性黑色素瘤症状及病灶部位等。结果 105例患者在超声引导下均发现肿瘤,其中64例直径〉8 cm,占60.95%,36例直径4-8 cm,占34.29%;105例肝脏转移性恶性黑色素瘤中症状及发病部位相对较多,症状前3位分别为头痛、运动障碍及感觉障碍,分别占40.95%、36.19%、11.43%;发病部位前2位为足背及颅内,分别占25.71%、20.95%。105例患者一次取材满意率为83.81%（88/105）、诊断符合率为80.0%（84/105）。结论 超声引导下穿刺活检诊断肝脏转移性恶性黑色素瘤诊断效果理想,应根据肿块部位、肿瘤大小选择合适的穿刺途径,提高临床确诊率。Objective To observe the diagnostic effects of ultrasound-guided needle biopsy in liver metastatic malignant melanoma. Methods A total of 105 patients with liver metastatic malignant meIanoma who were diagnosed and treated in our hospital from January 2014 to May 2016 were enrolled in this study. Color Doppler ultrasound guided needle biopsy was used for diagnosis in the enrolled patients. The diagnostic effects of ultrasound guided needle biopsy on liver metastatic malignant melanoma was analyzed. The diagnostic effects, satisfaction tO diagnosis, symptoms of liver metastatic malignant melanoma and lesion sites were observed in the enrolled patients. Results Tumors were found in 105 patients under the guidance of ultrasound. Among them, 64 cases were with the diameter〉8 cm, accounting for 60.95%. 36 cases were with the diameter of 4-8 cm, accounting for 34.29%; symptoms and disease incidence sites of 105 patients with liver metastatic malignant melanoma were relatively more, and the symptoms ranking the top three were： headache, dyskinesia and sensory dysfunction, accounting for 40.95%, 36.19% and 11.43% respectively; the disease incidence sites ranking the top two were the dorsum and intracranial area, accounted for 25.71% and 20.95% respectively. The satisfaction rate of one-time sampling was 83.81%（88/105）, and the diagnostic coincidence rate was 80.0%（84/105） in 105 patients. Conclusion The diagnostic effects of ultrasound-guided needle biopsy in the diagnosis of liver metastatic malignant melanoma are ideal. Appropriate needle biopsy route should be selected according to the location of the tumor and the size of the tumor, so as to improve the clinical diagnosis rate.

关 键 词：超声引导 穿刺活检 肝脏转移 恶性黑色素瘤 诊断效果 

分 类 号：R739.5[医药卫生—肿瘤] R445.1[医药卫生—临床医学]