超声造影引导在肝占位性病变穿刺活检中应用价值  

The value of contrast-enhanced ultrasound guided biopsy of liver occupying lesions

作　　者：于馨[1] 曹军英[1] 高越[1] 张筠[1] 刘聪[1] 金壮[1] 里子彧[1] 李小茜[1] 

机构地区：[1]沈阳军区总医院超声科,辽宁沈阳110016

出　　处：《临床军医杂志》2017年第5期466-468,共3页Clinical Journal of Medical Officers

基　　金：2015年辽宁省自然科学基金(2015020419)

摘　　要：目的探讨超声造影引导在肝占位性病变穿刺活检中的临床应用价值。方法回顾性分析2014年1月至2016年12月行穿刺活检的102例肝占位性病变患者临床资料,其中,A组患者(n=53)采取超声造影引导行穿刺活检;B组患者(n=49)采取超声引导行穿刺活检,所取组织满足病理诊断为取材成功。比较两组患者穿刺成功率、定性诊断率。结果两组患者均全部穿刺成功,穿刺成功率均为100.0%。A组53例患者取材均满足病理诊断,定性诊断率100.0%;B组定性诊断率为83.7%(41/49)。A组的定性诊断率明显优于B组,差异有统计学意义(P<0.05)。结论超声造影引导下行肝占位性病变穿刺活检,能清楚显示肿瘤活性区域、坏死区域及液化区域,更为准确的定位取材,降低假阴性的风险,具有较高的临床应用价值。Objective To investigate value of contrast-enhanced uhrasound （CEUS） guided percutaneous needle biopsy of the liver neoplasm. Methods A retrospective study was performed on 102 patients with guided percutaneous needle biopsy of the liver neo- plasm who were admitted from January 2014 to December 2016. Patients were divided to Group A and Group B ,the patients of Group A （ n = 53 ） underwent contrast-enhanced ultrasound and ultrasound guided needle biopsy ; the others of Group B （ n = 49 ） underwent ul- trasound guided needle biopsy, the tissue which was taken was comparative analyzed to meet the pathological diagnosis that was suc- cessful. The puncture successful rate and qualitative diagnosis rate of the two groups were compared. Results All 102 cases were bi- opsed success-fully,and the puncture successful rate was 100.0%. In the Group A,53 patients were satisfied with the pathological di- agnosis, the qualitative diagnostic rate was 100. 0% ;in the Group B ,49 cases were diagnosed with pathological diagnosis in 41 cases, the qualitative diagnostic rate was 83.7%. The qualitative diagnosis rate of Group A was significantly better than that of Group B, and the difference was statistically significant （ P 〈 0. 05 ）. Conclusion CEUS guided preeutaneous biopsy of liver neoplasm, it can show the active area,the necrotic area,the liquefaction area, accurate sampling, and the rate of qualitative diagnosis was better than that of ultrasound-guided biopsy, it possesses high clinical applied value.

关 键 词：超声造影 超声 穿刺活检 肝占位性病变 病理诊断 

分 类 号：R735.7[医药卫生—肿瘤]